Трансплантация сердца от доноров старших возрастных групп


https://doi.org/10.15825/1995-1191-2017-1-89-102

Полный текст:


Аннотация

В сложившейся ситуации дефицита донорских органов выполнение трансплантации сердца от так называемых возрастных доноров является одним из реальных путей повышения доступности и увеличения количества пересадок сердца, прежде всего у потенциальных реципиентов, нуждающихся в неотложном ее выполнении. При подготовке и выполнении трансплантации сердца от возрастных доноров необходимо учитывать повышенный риск развития ранней дисфункции сердечного трансплантата, наличия трансмиссивного атеросклероза коронарных артерий, развития и прогрессирования васкулопатии сердечного трансплантата, что может негативно сказаться на ранней и отдаленной выживаемости реципиентов. При правильном подборе пары «донор–реципиент», эффективном разрешении ранней дисфункции сердечного трансплантата, своевременном применении лечебных мер, направленных на профилактику васкулопатии сердечного трансплантата, а также на коррекцию трансмиссивного атеросклероза коронарных артерий, ранние и отдаленные результаты трансплантации сердца от возрастных доноров сопоставимы с результатами трансплантации от доноров со стандартными критериями.


Об авторах

В. Н. Попцов
ФГБУ «Федеральный научный центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России
Россия

Адрес: 123182, Москва, ул. Щукинская, д. 1. Тел. (963) 644-96-39



Е. А. Спирина
ФГБУ «Федеральный научный центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России
Россия
Москва, Российская Федерация


Н. Н. Колоскова
ФГБУ «Федеральный научный центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России
Россия
Москва, Российская Федерация


С. А. Масютин
ФГБУ «Федеральный научный центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России
Россия
Москва, Российская Федерация


С. Г. Ухренков
ФГБУ «Федеральный научный центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России
Россия
Москва, Российская Федерация


А. А. Догонашева
ФГБУ «Федеральный научный центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России
Россия
Москва, Российская Федерация


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Дополнительные файлы

Для цитирования: Попцов В.Н., Спирина Е.А., Колоскова Н.Н., Масютин С.А., Ухренков С.Г., Догонашева А.А. Трансплантация сердца от доноров старших возрастных групп. Вестник трансплантологии и искусственных органов. 2017;19(1):89-102. https://doi.org/10.15825/1995-1191-2017-1-89-102

For citation: Poptsov V.N., Spirina E.A., Koloskova N.N., Masyutin S.A., Ukhrenkov S.G., Dogonasheva A.A. Heart transplantation from older donors. Russian Journal of Transplantology and Artificial Organs. 2017;19(1):89-102. (In Russ.) https://doi.org/10.15825/1995-1191-2017-1-89-102

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ISSN 1995-1191 (Print)
ISSN 2412-6160 (Online)