Consensus conference on heart‐kidney transplantation. Issue 7 (19th February 2021)

• Record Type: Journal Article
• Authors: Kobashigawa, Jon; Dadhania, Darshana M.; Farr, Maryjane; Tang, W. H. Wilson; Bhimaraj, Arvind; Czer, Lawrence; Hall, Shelley; Haririan, Abdolreza; Formica, Richard N.; Patel, Jignesh; Skorka, Rafael; Fedson, Savitri; Srinivas, Titte; Testani, Jeffrey; Yabu, Julie M.; Cheng, Xingxing S.
• Other Names: Adler Eric investigator.; Akalin Enver investigator.; Anderson Allen investigator.; Birdwell Kelly investigator.; Cohen David investigator.; Crew R. John investigator.; Eisen Howard investigator.; Feller Erika investigator.; Fischbach Bernie investigator.; Gallon Lorenzo investigator.; Gass Alan investigator.; Gonzalez Juan investigator.; Horn Evelyn investigator.; Inker Lesley investigator.; Johnson Maryl investigator.; Khush Kiran investigator.; Lefkowitz Heather investigator.; Moiz Abdul investigator.; Nathan Sriram investigator.; Nsair Ali investigator.; Peng Alice investigator.; Poggio Emilio investigator.; Radovancevic Rajko investigator.; Ravichandran Ashwin investigator.; Serur David investigator.; Zucker Mark investigator.
• Is Part Of: American journal of transplantation. Volume 21:Issue 7(2021)
• Page Start: 2459
• Page End: 2467
• Publication Date: 2021-02-19
• Subjects: clinical research/practice -- ethics -- ethics and public policy -- heart disease -- heart transplantation/cardiology -- immunosuppressant -- kidney disease -- kidney transplantation/nephrology; Transplantation of organs, tissues, etc -- Periodicals; 617.95
• DOI: 10.1111/ajt.16512
• Languages: English
• ISSNs: 1600-6135

Abstract

Abstract : Simultaneous heart‐kidney transplant (sHK) has enabled the successful transplantation of patients with end‐stage heart disease and concomitant kidney disease, with non‐inferior outcomes to heart transplant (HT) alone. The decision for sHK is challenged by difficulties in differentiating those patients with a significant component of reversible kidney injury due to cardiorenal syndrome who may recover kidney function after HT, from those with intrinsic advanced kidney disease who would benefit most from sHK. A consensus conference on sHK took place on June 1, 2019 in Boston, Massachusetts. The conference represented a collaborative effort by experts in cardiothoracic and kidney transplantation from centers across the United States to explore the development of guidelines for the interdisciplinary criteria for kidney transplantation in the sHK candidate, to evaluate the current allocation of kidneys to follow the heart for sHK, and to recommend standardized care for the management of sHK recipients. The conference served as a forum to unify criteria between the different specialties and to forge a pathway for patients who may need dual organ transplantation. Due to the continuing shortage of available donor organs, ethical problems related to multi‐organ transplantation were also debated. The findings and consensus statements are presented. Abstract : This article contains the proceedings of a collaborative effort by experts in heart and kidney transplantation to explore the development of interdisciplinary criteria for kidney transplantation in the heart‐kidney transplant candidate, to evaluate the current allocation of kidneys to follow the heart, and to recommend standardized care for the management of heart‐kidney transplant recipients. See Johnson and Nadim's editorial on page 2323 .