中国心脏移植受者术前评估与准备技术规范(2019版)
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摘要
由于供心资源稀缺,必须对心脏移植候选者进行严格选择,仔细衡量风险和获益,评估其是否适合接受心脏移植。入选心脏移植等待名单的候选者需进行全面的术前评估,最大限度改善心功能和各器官功能状态;同时,接受详细的术前检查,以确保心脏以外器官功能可耐受心脏移植手术及术后免疫抑制治疗。为了进一步规范心脏移植受者选择以及术前评估和准备,中华医学会器官移植学分会组织心脏移植专家,总结相关国内外最新进展,结合国际指南和临床实践,从心脏移植适应证、禁忌证、移植候选者筛选和评估以及术前检查和准备等方面,制订中国心脏移植受者术前评估与准备技术规范(2019版)。
引文
1 Jessup M, Drazner MH, Book W, et al. 2017 ACC/AHA/HFSA/ISHLT/ACP advanced training statement on advanced heart failure and transplant cardiology (Revision on the ACCF/AHA/ACP/HFSA/ISHLT 2010 clinical competence statement on management of patients with advanced heart failure and cardiac transplant): a report of the ACC Competency Management Committee[J]. J Am Coll Cardiol, 2017,69(24):2977- 3001.
2 Mehra MR, Kobashigawa J, Starling R, et al. Listing criteria for heart transplantation: International Society for Heart and Lung Transplantation guidelines for the care of cardiac transplant candidates- 2006[J]. J Heart Lung Transplant, 2006,25(9):1024- 1042.
3 Mehra MR, Canter CE, Hannan MM, et al. The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: A 10- year update[J]. J Heart Lung Transplant, 2016,35(1):1- 23.
4 Francis GS, Greenberg BH, Hsu DT,et al. ACCF/AHA/ACP/HFSA/ISHLT 2010 clinical competence statement on management of patients with advanced heart failure and cardiac transplant: a report of the ACCF/AHA/ACP Task Force on Clinical Competence and Training[J]. Circulation, 2010,122(6):644- 672.
5 Barge- Caballero E, Segovia- Cubero J, Almenar- Bonet L, et al. Preoperative INTERMACS profiles determine postoperative outcomes in critically ill patients undergoing emergency heart transplantation: analysis of the Spanish National Heart Transplant Registry[J]. Circ Heart Fail, 2013,6(4):763- 772.
6 Khush KK, Cherikh WS, Chambers DC, et al. The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: Thirty- fifth Adult Heart Transplantation Report- 2018; Focus Theme: Multiorgan Transplantation[J]. J Heart Lung Transplant, 2018,37(10):1155- 1168.
7 Russo MJ, Hong KN, Davies RR, et al. The effect of body mass index on survival following heart transplantation: do outcomes support consensus guidelines?[J]. Ann Surg, 2010,251(1):144- 152.
8 Costanzo MR, Dipchand A, Starling R,et al. The International Society of Heart and Lung Transplantation Guidelines for the care of heart transplant recipients[J]. J Heart Lung Transplant, 2010,29(8):914- 956.
9 Kotloff RM, Blosser S, Fulda GJ, et al. Management of the potential organ donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organization Consensus Statement[J]. Crit Care Med, 2015,43(6):1291- 1325.
10 Lund LH, Edwards LB, Kucheryavaya AY, et al. The Registry of the International Society for Heart and Lung Transplantation: Thirty- second Official Adult Heart Transplantation Report- 2015; Focus Theme: Early Graft Failure[J]. J Heart Lung Transplant, 2015,34(10):1244- 1254.
11 Silva Enciso J, Kato TS, Jin Z, et al. Effect of peripheral vascular disease on mortality in cardiac transplant recipients (from the United Network of Organ Sharing Database)[J]. Am J Cardiol, 2014,114(7):1111- 1115.
12 Chung JC, Tsai PR, Chou NK, et al. Extracorporeal membrane oxygenation bridge to adult heart transplantation[J]. Clin Transplant, 2010,24(3):375- 380.
13 Jasseron C, Lebreton G, Cantrelle C,et al. Impact of heart transplantation on survival in patients on venoarterial extracorporeal membrane oxygenation at listing in France[J]. Transplantation, 2016,100(9):1979- 1987.
14 Marasco SF, Lo C, Murphy D,et al. Extracorporeal life support bridge to ventricular assist device: the double bridge strategy[J]. Artif Organs, 2016,40(1):100- 106.
15 Ross HJ, Law Y, Book WM, et al. Transplantation and mechanical circulatory support in congenital heart disease: A scientific statement from the American Heart Association[J]. Circulation, 2016,133(8):802- 820.
16 Hu XJ, Dong NG, Liu JP, et al. Status on heart transplantation in China[J]. Chin Med J (Engl), 2015,128(23):3238- 3242.
17 Mancini D, Lietz K. Selection of cardiac transplantation candidates in 2010[J]. Circulation, 2010,122(2):173- 183
18 Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America[J]. J Am Coll Cardiol, 2017,70(6):776- 803.
19 Riccio C Coordinator, Gulizia MM Facc Fesc Coordinator, Colivicchi F Facc Fesc Coordinator, et al. ANMCO/GICR- IACPR/SICI- GISE Consensus Document: the clinical management of chronic ischaemic cardiomyopathy[J]. Eur Heart J Suppl, 2017,19(Suppl D):D163- D189.
20 Authors/Task Force members, Elliott PM, Anastasakis A, et al. 2014 ESC Guidelines on diagnosis and management of hypertrophic cardiomyopathy: the Task Force for the Diagnosis and Management of Hypertrophic Cardiomyopathy of the European Society of Cardiology (ESC)[J]. Eur Heart J, 2014,35(39):2733- 2779.
21 Li F, Cai J, Sun YF, et al. Pediatric heart transplantation: report from a single center in China[J]. Chin Med J (Engl), 2015,128(17):2290- 2294.
22 Lee SJ, Kim KH, Hong SK, et al. Evaluation of a heart transplant candidate[J]. Curr Cardiol Rep, 2017,19(12):133.
2 Mehra MR, Kobashigawa J, Starling R, et al. Listing criteria for heart transplantation: International Society for Heart and Lung Transplantation guidelines for the care of cardiac transplant candidates- 2006[J]. J Heart Lung Transplant, 2006,25(9):1024- 1042.
3 Mehra MR, Canter CE, Hannan MM, et al. The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: A 10- year update[J]. J Heart Lung Transplant, 2016,35(1):1- 23.
4 Francis GS, Greenberg BH, Hsu DT,et al. ACCF/AHA/ACP/HFSA/ISHLT 2010 clinical competence statement on management of patients with advanced heart failure and cardiac transplant: a report of the ACCF/AHA/ACP Task Force on Clinical Competence and Training[J]. Circulation, 2010,122(6):644- 672.
5 Barge- Caballero E, Segovia- Cubero J, Almenar- Bonet L, et al. Preoperative INTERMACS profiles determine postoperative outcomes in critically ill patients undergoing emergency heart transplantation: analysis of the Spanish National Heart Transplant Registry[J]. Circ Heart Fail, 2013,6(4):763- 772.
6 Khush KK, Cherikh WS, Chambers DC, et al. The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: Thirty- fifth Adult Heart Transplantation Report- 2018; Focus Theme: Multiorgan Transplantation[J]. J Heart Lung Transplant, 2018,37(10):1155- 1168.
7 Russo MJ, Hong KN, Davies RR, et al. The effect of body mass index on survival following heart transplantation: do outcomes support consensus guidelines?[J]. Ann Surg, 2010,251(1):144- 152.
8 Costanzo MR, Dipchand A, Starling R,et al. The International Society of Heart and Lung Transplantation Guidelines for the care of heart transplant recipients[J]. J Heart Lung Transplant, 2010,29(8):914- 956.
9 Kotloff RM, Blosser S, Fulda GJ, et al. Management of the potential organ donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organization Consensus Statement[J]. Crit Care Med, 2015,43(6):1291- 1325.
10 Lund LH, Edwards LB, Kucheryavaya AY, et al. The Registry of the International Society for Heart and Lung Transplantation: Thirty- second Official Adult Heart Transplantation Report- 2015; Focus Theme: Early Graft Failure[J]. J Heart Lung Transplant, 2015,34(10):1244- 1254.
11 Silva Enciso J, Kato TS, Jin Z, et al. Effect of peripheral vascular disease on mortality in cardiac transplant recipients (from the United Network of Organ Sharing Database)[J]. Am J Cardiol, 2014,114(7):1111- 1115.
12 Chung JC, Tsai PR, Chou NK, et al. Extracorporeal membrane oxygenation bridge to adult heart transplantation[J]. Clin Transplant, 2010,24(3):375- 380.
13 Jasseron C, Lebreton G, Cantrelle C,et al. Impact of heart transplantation on survival in patients on venoarterial extracorporeal membrane oxygenation at listing in France[J]. Transplantation, 2016,100(9):1979- 1987.
14 Marasco SF, Lo C, Murphy D,et al. Extracorporeal life support bridge to ventricular assist device: the double bridge strategy[J]. Artif Organs, 2016,40(1):100- 106.
15 Ross HJ, Law Y, Book WM, et al. Transplantation and mechanical circulatory support in congenital heart disease: A scientific statement from the American Heart Association[J]. Circulation, 2016,133(8):802- 820.
16 Hu XJ, Dong NG, Liu JP, et al. Status on heart transplantation in China[J]. Chin Med J (Engl), 2015,128(23):3238- 3242.
17 Mancini D, Lietz K. Selection of cardiac transplantation candidates in 2010[J]. Circulation, 2010,122(2):173- 183
18 Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America[J]. J Am Coll Cardiol, 2017,70(6):776- 803.
19 Riccio C Coordinator, Gulizia MM Facc Fesc Coordinator, Colivicchi F Facc Fesc Coordinator, et al. ANMCO/GICR- IACPR/SICI- GISE Consensus Document: the clinical management of chronic ischaemic cardiomyopathy[J]. Eur Heart J Suppl, 2017,19(Suppl D):D163- D189.
20 Authors/Task Force members, Elliott PM, Anastasakis A, et al. 2014 ESC Guidelines on diagnosis and management of hypertrophic cardiomyopathy: the Task Force for the Diagnosis and Management of Hypertrophic Cardiomyopathy of the European Society of Cardiology (ESC)[J]. Eur Heart J, 2014,35(39):2733- 2779.
21 Li F, Cai J, Sun YF, et al. Pediatric heart transplantation: report from a single center in China[J]. Chin Med J (Engl), 2015,128(17):2290- 2294.
22 Lee SJ, Kim KH, Hong SK, et al. Evaluation of a heart transplant candidate[J]. Curr Cardiol Rep, 2017,19(12):133.