Renlund D G, Bristow M R, Burton N A, Jones K W, Karwande S V, Gay W A
West J Med. 1987 May;146(5):627-30.
In an 18-month period, 50 orthotopic cardiac transplantations were done in Utah in 48 patients with end-stage heart failure. The 12-month actuarial survival was 98%, indicating that successful cardiac transplantation can be done in a newly established program and that the intermountain West has an adequate supply of potential recipients and donors for a moderate- to high-volume program. Furthermore, the administration of cardiac transplantation in a setting of other treatment modalities of heart failure in a multi-institutional program that crosses private practice-academic barriers is feasible. Results such as these need to be considered by the federal government as it establishes eligibility criteria for centers to be approved for Medicare-funded cardiac transplantation.
在18个月的时间里，犹他州为48例终末期心力衰竭患者进行了50例原位心脏移植手术。12个月的精算生存率为98%，这表明在一个新设立的项目中可以成功进行心脏移植手术，并且美国西部山间地区有足够数量的潜在受者和供者来开展一个中高规模的项目。此外，在一个跨越私人执业与学术界限的多机构项目中，将心脏移植与心力衰竭的其他治疗方式相结合进行管理是可行的。联邦政府在制定医疗保险资助的心脏移植中心资格标准时，需要考虑这样的结果。
