March 9, 2014
Notes: Gonzalez, Maria Margarita
de Oliveira, Renan Gianotto
Polastri, Thatiane Facholi
Dallan, Luis Augusto Palma
Lage, Silvia Gelas
de Bernoche, Claudia San Martin
Canesin, Manoel Fernandes
Mancuso, Frederico Jose Neves
Favarato, Maria Helena
Arq Bras Cardiol. 2013 Feb;100(2):105-13.
Author Address: Sociedade Brasileira de Cardiologia, Rio de Janeiro, RJ, Brasil. firstname.lastname@example.org
Reference Type: Journal Article
Record Number: 478Author: Gonzalez-Vilchez, F., Gomez-Bueno, M., Almenar, L., Crespo-Leiro, M. G., Arizon, J. M., Martinez-Selles, M., Delgado, J., Roig, E., Lage, E., Manito, N. and en representacion de los equipos espanoles de Trasplante, Cardiaco
Title: Spanish Heart Transplantation Registry. 24th Official Report of the Spanish Society of Cardiology Working Group on Heart Failure and Heart Transplantation (1984-2012)
Journal: Rev Esp Cardiol
Short Title: Spanish Heart Transplantation Registry. 24th Official Report of the Spanish Society of Cardiology Working Group on Heart Failure and Heart Transplantation (1984-2012)
Alternate Journal: Revista espanola de cardiologia
ISSN: 1579-2242 (Electronic)
Original Publication: Registro Espanol de Trasplante Cardiaco. XXIV Informe Oficial de la Seccion de Insuficiencia Cardiaca y Trasplante Cardiaco de la Sociedad Espanola de Cardiologia (1984-2012).
Accession Number: 24206848
Abstract: INTRODUCTION AND OBJECTIVES: The present article reports the characteristics and results of heart transplantation in Spain since this therapeutic modality was first used in May 1984. METHODS: We summarize the main features of recipients, donors, and surgical procedures, as well as the results of all heart transplantations performed in Spain until December 31, 2012. RESULTS: A total of 247 heart transplantations were performed in 2012. The whole series consisted of 6775 procedures. Recent years have seen a progressive worsening in the clinical characteristics of recipients (34% aged over 60 years, 22% with severe kidney failure, 17% with insulin-dependent diabetes, 29% with previous heart surgery, 16% under mechanical ventilation) and donors (38% aged over 45 years, 26% with recipient: donor weight mismatch>20%), and in surgical conditions (29% of procedures at >4h ischemia and 36% as emergency transplantations). The probability of survival at 1, 5, 10, and 15 years of follow-up was 78%, 67%, 53%, and 38%, respectively. These results have remained stable since 1995. CONCLUSIONS: In recent years, the number of heart transplantations/year in Spain has remained stable at around 250. Despite the worsening of recipient and donor clinical characteristics and of time-to-surgery, the results in terms of mortality have remained stable and compare favorably with those of other countries. Full English text available from:www.revespcardiol.org/en.