Современные представления о критериях селекции доноров сердца
Аннотация
При ограниченных возможностях имеющегося донорского пула и одновременно растущих потребностях в трансплантации донорского сердца встает вопрос о расширении критериев отбора донорского сердца, как одного из способов повышения доступности трансплантации органов, и донорского сердца в частности. Использование доноров с расширенными критериями, с одной стороны, позволяет увеличить число трансплантаций и сократить время пребывания в листе ожидания, с другой – повышает риск неблагоприятного исхода трансплантации. Соответственно, доноры высокого риска нуждаются в более тщательной объективной оценке с использованием прогностических моделей, а органы, полученные от доноров с расширенными критериями – в оптимальном подборе пары «донор–реципиент». Анализ мировых и отечественных исследований, приведенный в данном обзоре, раскрывает глубину современной проблемы селекции доноров сердца.
Об авторах
Э. А. Тенчурина
ГБУЗ «Городская клиническая больница имени С.П. Боткина» ДЗМ, Московский городской координационный центр органного донорства
Россия
Россия
Тенчурина Эльмира Анвяровна.
Адрес: 125284, Москва, 2-й Боткинский пр-д, 5.
Тел. (967) 113-87-64.
М. Г. Минина
ГБУЗ «Городская клиническая больница имени С.П. Боткина» ДЗМ, Московский городской координационный центр органного донорства; ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России
Россия
Россия
Москва
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Рецензия
Для цитирования:
Тенчурина Э.А., Минина М.Г. Современные представления о критериях селекции доноров сердца. Вестник трансплантологии и искусственных органов. 2020;22(3):174-181. https://doi.org/10.15825/1995-1191-2020-3-174-181
For citation:
Tenchurina E.A., Minina M.G. Modern ideas in heart donor selection criteria. Russian Journal of Transplantology and Artificial Organs. 2020;22(3):174-181. https://doi.org/10.15825/1995-1191-2020-3-174-181
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