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Management of Kidney Disease in Heart Transplant Patients: A National Delphi Survey-based Consensus Expert Paper

María Dolores García-Cosío Carmena1, Marta Farrero2, María Teresa Blasco Peiró3

  • 1Cardiology Department, Hospital Universitario 12 de Octubre, Imas12, CIBERCV, Madrid, Spain.

Transplantation
|February 10, 2025
PubMed

Insights

Managing kidney disease in heart transplant recipients is complex. This expert consensus provides guidance on identifying, managing, and considering kidney transplantation for these patients.

Area of Science:

  • Cardiology
  • Nephrology
  • Transplantation Medicine

Background:

  • Kidney disease is a frequent complication in heart transplant recipients.
  • Management is challenging due to pre-existing conditions, perioperative factors, immunosuppression, and cardiovascular issues.

Purpose of the Study:

  • To establish expert consensus on managing chronic kidney disease (CKD) in heart transplant recipients.
  • To provide guidance where clinical evidence is limited.

Main Methods:

  • A panel of Spanish cardiologists and nephrologists reviewed existing evidence.
  • Consensus statements were developed using a 2-round Delphi methodology.

Main Results:

  • Developed consensus statements on key aspects of CKD management.
  • Addressed identification, management, and kidney transplantation indications.

Conclusions:

  • The consensus provides expert guidance for a complex clinical scenario.
  • Aims to improve care for heart transplant recipients with kidney disease.

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