Posts Tagged ‘UNOS’

September 8, 2013

The urgent priority for transplantation is to trim the waiting list


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This thought provoking editorial by Dr. Lynne Warner Stevenson provides commentary on ineffective waitlist strategies and the need for change.

No Comments Posted in Cardiac Transplantation
June 21, 2013

Simultaneous Thoracic and Abdominal Transplantation: Can We Justify Two Organs for One Recipient?


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This paper reviews the outcomes documented in the UNOS database for recipients of simulataneous thoracic and abdominal transplants. An interesting ethical discussion concludes the article.

No Comments Posted in Cardiac Transplantation, Liver Transplantation, Lung Transplantation, Renal Transplantation
January 28, 2013

Morbidity and Mortality in Heart Transplant Candidates Supported with Mechanical Circulatory Support. Is Reappraisal of the Current UNOS Thoracic Organ Allocation Policy Justified?


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Within the cardiac transplant community there has been much discussion regarding the evolution in technology of mechanical circulatory support and the impact on organ allocation. This article published in Circulation suggests transplant candidates supported with contemporary continuous flow LVADs have favorable waiting list outcomes. In contrast outcomes worsen significantly once a serious LVAD-related complication occurs. […]

No Comments Posted in Cardiac Transplantation
January 28, 2013

Morbidity and Mortality in Heart Transplant Candidates Supported with Mechanical Circulatory Support. Is Reappraisal of the Current UNOS Thoracic Organ Allocation Policy Justified?


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Within the cardiac transplant community there has been much discussion regarding the evolution in technology of mechanical circulatory support and the impact on organ allocation. This article published in Circulation suggests transplant candidates supported with contemporary continuous flow LVADs have favorable waiting list outcomes. In contrast outcomes worsen significantly once a serious LVAD-related complication occurs. […]

No Comments Posted in Cardiac Transplantation
February 23, 2012

Institutional volume and the effect of recipient risk on short-term mortality after orthotopic heart transplant


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This contemporary study provides further insight into the past observations of an association between center volume and surgical outcomes. The Index for Mortality Prediction After Cardiac Transplantation (IMPACT), from the data in the United Network for Organ Sharing (UNOS) registry was used to risk stratify patients. Mean annual institutional volume ranged from 0.2 OHT procedures/y […]

No Comments Posted in Cardiac Transplantation
October 1, 2011

Stable patients on left ventricular assist device support have a disproportionate advantage: Time to re-evaluate the current UNOS policy


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A recurrent theme at the annual International Society of Heart and Lung Transplant and the Heart Failure Society of America meetings is the need to consider further revision in the UNOS wait list criteria.  This paper reviews the justification and evolution of the current criteria through the era of mechanical circulatory support (MCS) and addresses […]

No Comments Posted in Cardiac Transplantation
October 1, 2011

Should heart transplant recipients with early graft failure be considered for retransplantation?


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This retrospective review of the UNOS database revealed the median survival in patients retransplanted within 90 days was only 1.6 years, compared with 10.5 years in primary heart transplant recipients. The trend in decline in organ donation in combination with decreased survival following retransplantation, raises ethical considerations regarding the decision to proceed with repeat transplantation […]

No Comments Posted in Cardiac Transplantation