Once evaluation as a potential transplant candidate is complete, there are still many processes that a patient must undergo before receiving a donor heart. All transplant candidates spend time on the waitlist after listing; the current donor heart shortage means that, unfortunately, waitlist mortality remains a significant problem. This chapter aims to provide an overview of the listing process, the current US system of heart allocation, medical surveillance, immunological optimization, and other considerations of patients on the waiting list.

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Listing Criteria and Optimization of the Pre-transplant Patient

  • Michelle M. Kittleson

摘要

Once evaluation as a potential transplant candidate is complete, there are still many processes that a patient must undergo before receiving a donor heart. All transplant candidates spend time on the waitlist after listing; the current donor heart shortage means that, unfortunately, waitlist mortality remains a significant problem. This chapter aims to provide an overview of the listing process, the current US system of heart allocation, medical surveillance, immunological optimization, and other considerations of patients on the waiting list.