Combined Heart-Kidney Transplantation: A Review of Recipient Selection and Patient Outcomes
Elevated serum creatinine is a common finding among patients awaiting heart transplantation because of reduced renal perfusion in the setting of severe heart failure as well as overlapping risk factors for chronic kidney disease and heart disease. Patients with significant renal dysfunction preopera...
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Veröffentlicht in: | Advances in chronic kidney disease 2009-07, Vol.16 (4), p.288-296 |
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description | Elevated serum creatinine is a common finding among patients awaiting heart transplantation because of reduced renal perfusion in the setting of severe heart failure as well as overlapping risk factors for chronic kidney disease and heart disease. Patients with significant renal dysfunction preoperatively have worse outcomes with heart transplantation alone compared with those with normal renal function or those with renal dysfunction who undergo combined heart-kidney transplantation. Optimizing organ distribution and patient outcomes after cardiac transplantation requires appropriate recipient selection, including deciding which patients will benefit from combined heart-kidney transplantation. This review focuses on the evaluation of patients with chronic kidney disease awaiting heart transplantation and the outcomes of combined heart-kidney transplantation. |
doi_str_mv | 10.1053/j.ackd.2009.05.003 |
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This review focuses on the evaluation of patients with chronic kidney disease awaiting heart transplantation and the outcomes of combined heart-kidney transplantation.</description><subject>Dual-organ transplantation</subject><subject>Heart Transplantation</subject><subject>Humans</subject><subject>Kidney Transplantation</subject><subject>Nephrology</subject><subject>Patient Selection</subject><subject>Treatment Outcome</subject><issn>1548-5595</issn><issn>1548-5609</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFq3DAQhkVpaNKkL5BD8Kk3uyPZslelFMKSNiWBlCY59SBkaQTa2NJWshv27SuzWwo95KRB-v5h9A0h5xQqCrz-sKmUfjIVAxAV8AqgfkVOKG9WJW9BvP5bc8GPyduUNhng3Uq8IcdU8K7NDyfk5zqMvfNoimtUcSpvnPG4Kx6i8mk7KD-pyQX_sbgsfuBvh89FsLnSbuvQT8U9DqgXoFDeFN8zu9zezZMOI6YzcmTVkPDd4Twlj1-uHtbX5e3d12_ry9tSN7yeSsEasLWg1mDPQWkUQOmqaZkxWjA0vW7a1iCzglsmOm64tsw2KyH6Ttks4pS83_fdxvBrxjTJ0SWNQx4fw5xk2zW8qaHLINuDOoaUIlq5jW5UcScpyEWp3MhFqVyUSuAyG8uhi0P3uR_R_IscHGbg0x7A_MfsKMqksweNxsVsR5rgXu7_-b-4Hpx3Wg1PuMO0CXP02Z6kMjEJ8n5Z6rJTEACQNdV_AJWtnQY</recordid><startdate>20090701</startdate><enddate>20090701</enddate><creator>Labban, Barbara</creator><creator>Crew, R. 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source | MEDLINE; Elsevier ScienceDirect Journals |
subjects | Dual-organ transplantation Heart Transplantation Humans Kidney Transplantation Nephrology Patient Selection Treatment Outcome |
title | Combined Heart-Kidney Transplantation: A Review of Recipient Selection and Patient Outcomes |
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