Alam Amit, Hall Shelley
New York University Grossman School of Medicine, New York, NY, US.
NYU Langone Health, New York, NY, US.
Methodist Debakey Cardiovasc J. 2025 May 15;21(3):83-91. doi: 10.14797/mdcvj.1567. eCollection 2025.
The first heart transplantation in the United States was performed in 1968. The first national heart allocation system was developed two decades later in 1988 as a two-tiered system. Our current heart allocation system, adopted in 2018 as a six-tiered system, is evolving to become a continuous distribution model. Herein, we review the history of the Organ Procurement and Transplantation Network, the evolution of the cardiac allocation system, modern day challenges of the current heart allocation system policy, and the future of transplantation given ongoing implementation of the modernization initiative.
美国首例心脏移植手术于1968年进行。首个全国性心脏分配系统于20年后的1988年作为两级系统建立。我们目前的心脏分配系统于2018年采用，为六级系统，正在演变为一种连续分配模式。在此，我们回顾器官获取与移植网络的历史、心脏分配系统的演变、当前心脏分配系统政策在当今面临的挑战，以及鉴于现代化倡议的持续实施，移植的未来发展。
