Spanish Heart Transplantation Registry. 25th official report of the Spanish Society of Cardiology Working Group on Heart Failure and Heart Transplantation (1984-2013).

Data de publicació: 01/12/2014

Autors de IIS La Fe

Luis Almenar Bonet

Autor

Autors aliens a IIS La Fe

González-Vílchez F
Gómez-Bueno M
Crespo-Leiro MG
Arizón JM
Palomo J
Delgado J
Roig E
Lage E
Manito N
Spanish Heart Transplantation Teams

Grups d'Investigació

Grupo de Investigación Clínica y Traslacional en Cardiología

Investigador Principal

Esther Roselló Lletí

Abstract

INTRODUCTION AND OBJECTIVES: The present article reports the characteristics and outcome of heart transplantation in Spain since it was first performed in May 1984. METHODS: We provide a descriptive analysis of the characteristics of the recipients, the donors, the surgical procedure, and results of the heart transplantations performed in Spain until 31 December 2013. RESULTS: During 2013, a total of 248 transplantation procedures were carried out, bringing the time series to a total of 7023 transplantations. The temporal analysis confirms a significant deterioration in the clinical profile of the recipients (higher percentage of older patients, severe renal failure, insulin-dependent diabetes mellitus, previous heart surgery, mechanical ventilation), of the donors (higher proportion of older donors and greater weight mismatch), and of the procedure (higher percentage of emergency transplantations which, in 2013, reached 49%, and with ischemia times > 240min). There was a marked increase in the use of circulatory assist devices prior to transplantation which, in 2013, were employed in 25.2% of all the patients. The survivals at 1, 5, 10, and 15 years were 76%, 65%, 52%, and 37%, respectively, and have remained stable since 1995. CONCLUSIONS: Heart transplantation activity in Spain remains stable in recent years, with around 250 procedures a year. Despite the clear deterioration in the clinical characteristics of the donors and recipients, and lengthening of the operative times, the results in terms of mortality continue to be comparable to those reported in our neighboring countries, and a growing use of circulatory assist devices prior to transplantation is confirmed.

Dades de la publicació

ISSN/ISSNe:: 1885-5857, 1885-5857
Tipus:: Article
Pàgines:: 1039-1051
DOI:: 10.1016/j.rec.2014.09.005
PubMed:: 25455756
Factor d'Impacte:: 0,104 SCImago ℠
Quartil:: Q4 SCImago ℠

Documents

No hi ha documents

Mètriques

Filiacions

González-Vílchez F:: Registro Español de Trasplante Cardiaco, Sección de Insuficiencia Cardiaca y Trasplante Cardiaco, Sociedad Española de Cardiología, Madrid, Spain

Servicio de Cardiología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain.
Gómez-Bueno M:: Servicio de Cardiología, Clínica Puerta de Hierro, Majadahonda, Madrid, Spain
Almenar L:: Servicio de Cardiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain
Crespo-Leiro MG:: Servicio de Cardiología, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain
Arizón JM:: Servicio de Cardiología, Hospital Universitario Reina Sofía, Córdoba, Spain
Palomo J:: Servicio de Cardiología (Adultos), Hospital Universitario Gregorio Marañón, Madrid, Spain
Delgado J:: Hospital Universitario 12 de Octubre, Madrid, Spain
Roig E:: Hospital Universitario de la Santa Creu i Sant Pau, Barcelona, Spain
Lage E:: Hospital Universitario Virgen del Rocío, Sevilla, Spain
Manito N:: Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain