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Updated: Oct 11, 2025

A Porcine Heterotopic Heart Transplantation Protocol for Delivery of Therapeutics to a Cardiac Allograft
Published on: February 14, 2022
Trends in cardiovascular medicine: Update on cardiac transplantation
Amanda C Coniglio1, Benjamin S Bryner2, Adam D Devore1
1Department of Medicine, Duke University School of Medicine, Durham, NC, United States.
Insights
Cardiac transplantation offers a cure for advanced heart failure, a condition affecting over 250,000 Americans. Recent innovations have expanded the donor pool, increasing transplant availability for patients.
Area of Science:
- Cardiology
- Transplantation Medicine
- Immunology
Background:
- Advanced heart failure impacts over 250,000 individuals in the US, carrying significant morbidity and mortality risks.
- Cardiac transplantation is a curative option, historically constrained by limited donor organ availability.
Purpose of the Study:
- To review recent advancements in cardiac transplantation.
- To highlight innovations expanding donor availability and improving patient access to heart transplants.
Main Methods:
- Review of recent literature and clinical updates in cardiac transplantation.
- Analysis of changes in organ allocation systems.
- Examination of novel donor selection, procurement, and desensitization protocols.
Main Results:
- Wider donor pool due to revised allocation systems.
- Improved donor selection and procurement strategies.
- Advancements in desensitization protocols enhancing graft acceptance.
Conclusions:
- Recent innovations are significantly increasing the availability of cardiac transplantation.
- These advances offer improved outcomes and access for patients with advanced heart failure.
Abstract:
Advanced heart failure affects more than 250,000 people in the United States alone and is associated with high risk of morbidity and mortality. Cardiac transplantation provides a cure for patients with advanced disease but has historically been limited by donor availability. Recent changes in the allocation system as well as advances in donor selection, procurement and desensitization protocols have served to widen the donor pool and increase the availability of cardiac transplantation for those in need. This review provides an update on recent advances in cardiac transplantation.
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