西班牙心脏移植登记。西班牙心脏病学会心脏衰竭协会第三十六届正式报告

IF 5.9 2区医学 Q2 Medicine

Revista espanola de cardiologia Pub Date : 2025-05-05 DOI:10.1016/j.recesp.2025.04.010

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 , en representación de los Equipos Españoles de Trasplante Cardiaco , Miguel Llano-Cardenal , José Antonio Vázquez de Prada , Francisco Nistal-Herrera , Cristina Castrillo , Beatriz Díaz-Molina , Vanesa Alonso-Fernández , Cristina Fidalgo-Muñiz , Diego Rangel-Sousa , Antonio Grande-Trillo , Ferrán Gran-Ipiña

{"title":"西班牙心脏移植登记。西班牙心脏病学会心脏衰竭协会第三十六届正式报告","authors":"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 , en representación de los Equipos Españoles de Trasplante Cardiaco , Miguel Llano-Cardenal , José Antonio Vázquez de Prada , Francisco Nistal-Herrera , Cristina Castrillo , Beatriz Díaz-Molina , Vanesa Alonso-Fernández , Cristina Fidalgo-Muñiz , Diego Rangel-Sousa , Antonio Grande-Trillo , Ferrán Gran-Ipiña","doi":"10.1016/j.recesp.2025.04.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>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).</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 10","pages":"Pages 906-915"},"PeriodicalIF":5.9000,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Registro español de trasplante cardiaco. XXXVI informe oficial de la Asociación de Insuficiencia Cardiaca de la Sociedad Española de Cardiología\",\"authors\":\"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 , en representación de los Equipos Españoles de Trasplante Cardiaco , Miguel Llano-Cardenal , José Antonio Vázquez de Prada , Francisco Nistal-Herrera , Cristina Castrillo , Beatriz Díaz-Molina , Vanesa Alonso-Fernández , Cristina Fidalgo-Muñiz , Diego Rangel-Sousa , Antonio Grande-Trillo , Ferrán Gran-Ipiña\",\"doi\":\"10.1016/j.recesp.2025.04.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction and objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>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).</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>\",\"PeriodicalId\":21299,\"journal\":{\"name\":\"Revista espanola de cardiologia\",\"volume\":\"78 10\",\"pages\":\"Pages 906-915\"},\"PeriodicalIF\":5.9000,\"publicationDate\":\"2025-05-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista espanola de cardiologia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0300893225013028\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista espanola de cardiologia","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0300893225013028","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

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。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Registro español de trasplante cardiaco. XXXVI informe oficial de la Asociación de Insuficiencia Cardiaca de la Sociedad Española de Cardiología

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.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Revista espanola de cardiologia 医学-心血管系统

CiteScore

4.20

自引率

13.60%

发文量

257

审稿时长

28 days

期刊介绍： Revista Española de Cardiología, Revista bilingüe científica internacional, dedicada a las enfermedades cardiovasculares, es la publicación oficial de la Sociedad Española de Cardiología.