Spanish heart transplant registry. 36th official report of the Heart Failure Association of the Spanish Society of Cardiology.

IF 7.2 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Francisco González-Vílchez, Luis Almenar-Bonet, Manuel Gómez-Bueno, María G Crespo-Leiro, Manuel Cobo-Belaustegui, Manuel Crespín-Crespín, Carlos Ortiz-Bautista, Juan F Delgado-Jiménez, Marta de Antonio-Ferrer, José Manuel Sobrino-Márquez
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Abstract

Introduction and objectives This report presents updated data on heart transplants in Spain, including procedures carried out in 2024. It reviews trends over the past decade (2015-2024) in donor and recipient characteristics, surgical techniques, immunosuppression strategies, and survival rates. Methods Data were drawn from the Spanish heart transplant registry, which is updated annually. The analysis includes 347 transplants performed in 2024, as well as procedures from 2015 to 2023 (n = 2721). Results In 2024, the number of heart transplants increased by 6.8% compared with 2023. There were no significant changes in recipient age or sex, but the proportion of urgent transplants rose to 47.0%. Use of circulatory support devices increased, particularly extracorporeal membrane oxygenation. The average donor age showed a slight increase in 2024, although the long-term trend remained downward. Donation after circulatory death accounted for 29.1% of transplants in 2024. One-year survival rates improved, reaching 85.2% for transplants performed between 2021 and 2023. Conclusions The number of heart transplants continued to grow, nearing historic highs, largely due to the expansion of donation after circulatory death. Improved 1-year survival reflects the maturity of transplant programs, advances in surgical and medical management, and better pretransplant conditions in recipients. Full English text available from: www.revespcardiol.org/en.

西班牙心脏移植登记处。西班牙心脏病学会心力衰竭协会第36次官方报告。
本报告介绍了西班牙心脏移植的最新数据,包括2024年进行的手术。它回顾了过去十年(2015-2024)在供体和受体特征、手术技术、免疫抑制策略和生存率方面的趋势。方法数据来自每年更新的西班牙心脏移植登记处。该分析包括2024年进行的347例移植手术,以及2015年至2023年的手术(n = 2721)。结果2024年心脏移植数量较2023年增长6.8%。受者的年龄和性别没有明显变化,但紧急移植的比例上升到47.0%。循环支持装置的使用增加,特别是体外膜氧合。尽管长期趋势仍然是下降的,但2024年平均供体年龄略有增加。2024年循环死亡后捐赠占移植的29.1%。2021年至2023年间进行的移植手术的一年存活率达到85.2%。结论心脏移植数量持续增长,接近历史最高水平,主要是由于循环死亡后捐赠的扩大。1年生存率的提高反映了移植方案的成熟、手术和医疗管理的进步以及移植前受者状况的改善。完整的英文文本可从:www.revespcardiol.org/en。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
7.70
自引率
0.00%
发文量
219
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