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Implementation of Heart Transplantation Program to Advanced Heart Failure Patients in Brazil

Fabiana G Marcondes-Braga1, Marcely Gimenes Bonatto2, Caio Ribeiro Alves Andrade3

  • 1Heart Transplantation Department, Heart Institute (InCor), University of Sao Paulo, Sao Paulo, Brazil. fgmarcondes@yahoo.com.br.

Current Heart Failure Reports
|February 4, 2019
PubMed

Insights

Heart transplantation is crucial for advanced heart failure. Strategies are needed to shorten transplant waiting lists, especially in developing nations where devices like LVADs are less accessible.

Area of Science:

  • Cardiology
  • Transplantation Medicine
  • Health Services Research

Background:

  • Heart transplantation is the definitive treatment for end-stage heart failure.
  • Left ventricular assist devices (LVADs) offer an alternative but face accessibility challenges in developing countries.
  • Increasing heart transplant waiting times necessitate innovative strategies, even with rising transplant volumes.

Purpose of the Study:

  • To survey heart transplant centers in Brazil, a developing country, to understand advanced heart failure treatment.
  • To identify opportunities for improving the heart transplant process and reducing waiting times.
  • To present a successful heart transplant team model.

Main Methods:

  • A survey was conducted across major Brazilian heart transplant centers.
  • Data on transplant processes and team structures were collected.
  • A model heart transplant team was described and benchmarked.

Main Results:

  • This is the first comprehensive survey of heart transplant centers in Brazil.
  • Optimizing transplant organization, multidisciplinary collaboration, donor care, and pre-transplant evaluation are key.
  • A specific heart transplant team model demonstrated success compared to leading Latin American centers.

Conclusions:

  • Improving transplant logistics and team efficiency can enhance outcomes for advanced heart failure.
  • The presented model offers a viable strategy for developing countries to optimize heart transplantation.
  • Addressing waiting list challenges requires systemic improvements in care delivery.
Abstract

Keywords:
Advanced heart failureHeart transplantationMultidisciplinary teamVentricular assist devices

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