西班牙心脏移植登记处。西班牙心脏病学会心力衰竭工作组第28次官方报告（1984 - 2016年）。
Spanish Heart Transplant Registry. 28th Official Report of the Spanish Society of Cardiology Working Group on Heart Failure (1984-2016).
作者信息
González-Vílchez Francisco, Gómez-Bueno Manuel, Almenar-Bonet Luis, Crespo-Leiro María G, Arizón Del Prado José M, Delgado-Jiménez Juan, Sousa-Casasnovas Iago, Brossa-Loidi Vicens, Sobrino-Márquez José Manuel, González-Costelo José
机构信息
Registro Español de Trasplante Cardiaco, Sección de Insuficiencia Cardiaca y Trasplante Cardiaco, Sociedad Española de Cardiología, Madrid, Spain; Servicio de Cardiología, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Cantabria, Spain.
Servicio de Cardiología, Clínica Puerta de Hierro, Majadahonda, Madrid, Spain.
出版信息
Rev Esp Cardiol (Engl Ed). 2017 Dec;70(12):1098-1109. doi: 10.1016/j.rec.2017.10.016. Epub 2017 Nov 1.
INTRODUCTION AND OBJECTIVES
The present article reports the characteristics and results of heart transplants in Spain since this therapeutic modality was first used in May 1984.
METHODS
We summarize the main features of recipients, donors, surgical procedures, and outcomes of all cardiac transplants performed in Spain up to December 31, 2016.
RESULTS
A total of 281 cardiac transplants were performed in 2016. The whole historical series consisted of 7869 procedures. The main features of transplant procedures in 2016 were similar to those observed in recent years. A high percentage of procedures were urgent, particularly those with use of pretransplant continuous-flow left ventricular assist devices (19.1% of all transplants). Survival significantly improved in the last decade compared with previous periods.
CONCLUSIONS
During the last few years, transplant activity in Spain has remained steady, with approximately 250-300 transplants/year. Despite a more complex clinical context, survival has improved in recent years.
引言与目的
本文报告了自1984年5月首次采用心脏移植这种治疗方式以来，西班牙心脏移植的特点及结果。
方法
我们总结了截至2016年12月31日在西班牙进行的所有心脏移植受者、供者、手术过程及结果的主要特征。
结果
2016年共进行了281例心脏移植手术。整个历史系列包括7869例手术。2016年移植手术的主要特征与近年来观察到的相似。很大比例的手术是紧急手术，尤其是那些使用移植前连续流左心室辅助装置的手术（占所有移植手术的19.1%）。与之前时期相比，过去十年的生存率有显著提高。
结论
在过去几年中，西班牙的移植活动保持稳定，每年约有250 - 300例移植手术。尽管临床情况更为复杂，但近年来生存率有所提高。
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