Rao Prashant, Smith Richard, Khalpey Zain
Sarver Heart Center, University of Arizona, Tucson, Arizona.
Department of Perfusion and Artificial Heart Programs, University of Arizona, Tucson, Arizona.
Semin Thorac Cardiovasc Surg. 2018 Summer;30(2):129-133. doi: 10.1053/j.semtcvs.2018.01.001. Epub 2018 Feb 2.
The current United States heart allocation system faces 2 main challenges: an evolving landscape of device therapy in advanced heart failure and a rapidly increasing transplant waiting list. The proposed new heart allocation system involves expansion of the 3 tiers and enables greater distinction between different types of mechanical circulatory support devices. In this review, we discuss how the proposed revision reconciles key concerns of the current system to create a more fair and equitable allocation of hearts in the United States.
晚期心力衰竭中器械治疗情况不断变化，以及移植等待名单迅速增加。提议的新心脏分配系统涉及扩大三个层级，并能更明确地区分不同类型的机械循环支持设备。在本综述中，我们讨论了提议的修订如何协调当前系统的关键问题，以在美国实现更公平公正的心脏分配。
