Department of Cardiothoracic Surgery, New York University Langone Health, New York, New York.
Division of Cardiology, New York University Grossman School of Medicine, New York, New York.
Ann Thorac Surg. 2024 Sep;118(3):552-563. doi: 10.1016/j.athoracsur.2024.03.041. Epub 2024 Apr 19.
Since the development of the first heart allocation system in 1988 to the most recent heart allocation system in 2018, the road to heart transplantation has continued to evolve. Policies were shaped with advances in temporary and durable left ventricular assist devices as well as prioritization of patients based on degree of illness. Herein, we review the changes in the heart allocation system over the past several decades and the impact of practice patterns across the United States.
自 1988 年第一个心脏分配系统的发展到 2018 年最近的心脏分配系统,心脏移植之路一直在不断发展。随着临时和持久左心室辅助设备的进步以及根据疾病严重程度对患者进行优先排序的政策,政策也在不断完善。在此,我们回顾了过去几十年中心脏分配系统的变化以及美国各地实践模式的影响。