Canadian Cardiovascular Society/Canadian Cardiac Transplant Network Position Statement on Heart Transplantation: Patient Eligibility, Selection, and Post-Transplantation Care

The Canadian Journal of Cardiology
Sharon ChihMario Senechal

Abstract

Significant practice-changing developments have occurred in the care of heart transplantation candidates and recipients over the past decade. This Canadian Cardiovascular Society/Canadian Cardiac Transplant Network Position Statement provides evidence-based, expert panel recommendations with values and preferences, and practical tips on: (1) patient selection criteria; (2) selected patient populations; and (3) post transplantation surveillance. The recommendations were developed through systematic review of the literature and using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. The evolving areas of importance addressed include transplant recipient age, frailty assessment, pulmonary hypertension evaluation, cannabis use, combined heart and other solid organ transplantation, adult congenital heart disease, cardiac amyloidosis, high sensitization, and post-transplantation management of antibodies to human leukocyte antigen, rejection, cardiac allograft vasculopathy, and long-term noncardiac care. Attention is also given to Canadian-specific management strategies including the prioritization of highly sensitized transplant candidates (status 4S) and heart organ allocation algorithms. The foc...Continue Reading

Citations

Oct 13, 2020·Current Opinion in Organ Transplantation·Andriana P Nikolova, Jon A Kobashigawa
Dec 17, 2020·International Journal of Molecular Sciences·José Ignacio ForteaEmilio Fábrega
Jan 24, 2021·Seminars in Nuclear Medicine·Sharon ChihRob S B Beanlands
May 20, 2021·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Caroline OltEileen M Hsich
May 25, 2021·CJC Open·Omid Kiamanesh, Mustafa Toma
Jun 13, 2021·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·S Lucy RocheEdward Hickey

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