Anesthesia for Heart Transplantation

Ramsingh, Davinder; Harvey, Reed; Runyon, Alec; Benggon, Michael

doi:10.1016/j.anclin.2017.05.002

Cited by 6 publications

(12 citation statements)

References 59 publications

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“…Кроме того, считается, что согревание пациента и гемостаз целесообразнее провести до трансплантации почки (ТП). По мнению ряда авторов, показанием для СТСП у потенциального реципиента сердца является снижение КФ до <37-40 мл/мин [67,68], в то же время КФ ≤30 мл/мин рассматривается как относительное противопоказание для изолированной трансплантации сердца [69].…”

Section: трансплантация почки реципиентам сердцаunclassified

Renal replacement therapy in heart transplant recipients

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Kopylova

et al. 2021

RJTAO

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Kidney injury in cardiac transplant recipients is one of the most severe complications affecting both short- and long-term transplant outcomes. The need for renal replacement therapy (RRT) is determined not only and not so much by the degree of renal dysfunction, as by the need for correction of fluid balance and metabolic disorders. These circumstances are associated with the specificity of extracorporeal renal replacement therapy in donor heart recipients. In this review, we discuss the problems of early versus delayed initiation of RRT, anticoagulation and vascular access, advantages and disadvantages of continuous and intermittent techniques. Special attention is paid to chronic kidney injury and peculiarities of kidney transplantation in heart recipients.

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Section: трансплантация почки реципиентам сердцаunclassified

Renal replacement therapy in heart transplant recipients

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Kopylova

et al. 2021

RJTAO

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“…1 A glomerular filtration rate (GFR) of 30 mL/min is considered to be a relative contraindication for heart transplantation alone. 2 In the past, patients with concurrent heart and kidney failure were not considered as candidates for heart transplantation. With thoracic-only transplantation, patients have an unacceptably high mortality rate.…”

mentioning

confidence: 99%

“…Most commonly, RV failure results from inability of the donor heart to adapt to elevated pulmonary artery pressures in the recipient. 2,12,13 The newly transplanted heart is preload dependent and needs adequate filling pressures. However, excessive preload and high central venous pressures must be avoided because the right ventricle is sensitive to distention.…”

mentioning

confidence: 99%

“…Therapies should aim at preventing or treating RV failure and include maintenance of systemic blood pressure to preserve coronary perfusion, preload optimization, decreasing pulmonary vascular resistance to reduce RV afterload, and limiting pulmonary vasoconstriction. 2,12,13 Strategies to optimize RV function include goal-directed fluid therapy, inotropes to increase contractility, adequate oxygenation and ventilation, and inhaled pulmonary artery vasodilators.…”

mentioning

confidence: 99%

“…The use of TEE during heart transplantation is a class II indication, according to the American Society of Echocardiography, and is crucial to proper evaluation and management of hemodynamic instability after separation from cardiopulmonary bypass. 2,16 TEE is used to guide fluid therapy, ensure adequate preload, assess ventricular function, and measure pulmonary hypertension and is key to helping the cardiac anesthesiologist achieve hemodynamic stability and maintain end organ perfusion during combined HKT.…”

mentioning

confidence: 99%

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