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題 名 | Heart Transplantation with Marginal Recipients and Donors=高危險群受贈者暨捐贈者之心臟移植 |
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作 者 | 許榮彬; 朱樹勳; 簡禎彥; 周迺寬; 陳益祥; 柯文哲; 王水深; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 98:10 1999.10[民88.10] |
頁 次 | 頁663-667 |
分類號 | 416.262 |
關鍵詞 | 高危險群; 心臟移植; Heart transplantation; Marginal recipient; Marginal donor; |
語 文 | 英文(English) |
英文摘要 | With improvements in surgical techniques and management of postoperative complications, heart transplantation can now be performed with donors and recipienst who were previously considered unsuitable. In this study, we report the results of heart transplantation with marginal donors and recipients in our hospital. From June 1993 through June 1998, we performed 79 heart transplantations. Marginal recipients were defined as those with high pulmonary vascular resistance (>6 Wood units), severe renal impairment (serum creatinine >2 mg/ dL and creatinine clearance <50 mL/min), or severe hepatic dysfunction (ALT and AST >100 IU/L or serum bilirubin > 2.5 mg/dL). Marginal donors were those with any of the following conditions: old age (>40 years), size mismatch (donor/ recipient body weight ratio <0.8), history of chronic alcohol use, previous cardiopulmonary resuscitation and hypotension, hepatitis B or C virus positivity, coronary artery disease, high-dose dopamine (>10 ug.kg �� ��.min �笐� ),or prolonged allograft ischemic time (>4 hours). Of the 79 transplantations performed, 45(58%) involved marginal recipients or donors. The 30-day mortality rate was 5%, and the 1-year and 5-year survival rates were 87% and 83%, respectively. The survival rates did not differ significantly between cases involving marginal donors or recipients and those involving nonmarginal donors and recipients. There were 27 marginal recipients (34%), only one of whom died during surgery. Five of six recipients with severe renal impairment needed short-term hemodialysis after transplantation. Recipients with high pulmonary vascular resistance had a higher incidence of early acute rejection (5/10 vs 22/69). Thirty-three (42%) of the patients received transplants from marginal donors, four of whom died during surgery; two died of acute vascular rejection, one of allograft failure caused by prolonged ischemic time, and one of bleeding secondary to preoperative sepsis and coagulopathy. These results show that heart transplantation may be performed in marginal recipients and donors, with acceptable operative mortality. |
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