Commentary: Heart transplantation listing for children with significant renal insufficiency: The need for a paradigm shift

[摘要] Dani and colleagues1 from Cincinnati review the Organ Procurement and Transplantation Network/United Network for Organ Sharing Registry with focus on pediatric patients (younger than age 18 years) with significant renal insufficiency (defined as having a estimated glomerular filtration rate <40 mL/min/1.73 m2 and/or being on dialysis) at time of listing for heart transplantation (HTx) (n = 318) or combined heart–kidney transplantation (HKTx) (n = 109). They found that those listed for HKTx were more likely to undergo transplantation than those listed for HTx (66% vs 54%; P = .005) and more likely to be alive at 1 year after listing (69% vs 51%; P = .029).

[学科分类] 心脏病和心血管学