Kalp Nakli Cerrahi Süreci
Özet
Kalp yetersizliği tanısı klinik bulgularla birlikte yapılan muayene ve tetkikler sonucunda konulabilmektedir. Kalp yetersizliği hastalarını değerlendirirken bakılması gereken parametreler ve bunların sonuçlarına göre kalp yetersizliği merkezine yönlendirilmesi gereken hastaların tanınması, hastaların zamanında tedaviye erişimi için son derece değerlidir. Kalp yetersizliği hastaları, kılavuzlarda muayene, tetkik ve klinik değerlendirmeler neticesinde ortaya çıkan sonuçlara göre farklı evrelere ayrılmaktadır. Tedavi planını belirlemede bu evrelendirme önemlidir ve günümüzde en önemli tedavisi kalp naklidir.
Dr. Bernard ile 1967 yılında başlayan kalp nakli süreci ülkemizde de bundan bir yıl sonra Dr. Kemal Beyazit ve Dr. Siyami Ersek’in öncülüğünde başlamıştır. Günümüzde ise sertifikasyon ile kriterleri sağlayan seçilmiş merkezlerde Kalp nakli uygulanabilmektedir.
Referanslar
McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021 Sep 21;42(36):3599–726. doi: 10.1093/eurheartj/ehab368
Yagdi T. Heart transplantation: preoperative evaluation, perioperative management, postoperative follow-up. Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology. 2015;43(1):95–108. doi: 10.5543/tkda.2015.27628
Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM, et al. w. Circulation. 2022 May 3;145(18). doi: 10.1161/CIR.0000000000001063
Gustafsson F, Rogers JG. Left ventricular assist device therapy in advanced heart failure: patient selection and outcomes. Eur J Heart Fail. 2017 May;19(5):595–602. doi: 10.1002/ejhf.779
Baumwol J. “I Need Help”—A mnemonic to aid timely referral in advanced heart failure. The Journal of Heart and Lung Transplantation. 2017 May;36(5):593–4. doi: 10.1016/j.healun.2017.02.010
Mehra MR, Canter CE, Hannan MM, Semigran MJ, Uber PA, Baran DA, et al. The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: A 10-year update. The Journal of Heart and Lung Transplantation. 2016 Jan;35(1):1–23. doi: 10.1016/j.healun.2015.10.023
Jessup M, Drazner MH, Book W, Cleveland JC, Dauber I, Farkas S, et al. 2017 ACC/AHA/HFSA/ISHLT/ACP Advanced Training Statement on Advanced Heart Failure and Transplant Cardiology (Revision of the ACCF/AHA/ACP/HFSA/ISHLT 2010 Clinical Competence Statement on Management of Patients With Advanced Heart Failure and Cardiac Transplant): A Report of the ACC Competency Management Committee. J Am Coll Cardiol. 2017 Jun 20;69(24):2977–3001. doi: 10.1016/j.jacc.2017.03.001
Immohr MB, Boeken U, Bruno RR, Sugimura Y, Mehdiani A, Aubin H, et al. Optimizing Anastomoses Technique in Orthotopic Heart Transplantation: Comparison of Biatrial, Bicaval and Modified Bicaval Technique. J Cardiovasc Dev Dis. 2022 Nov 20;9(11):404. doi: 10.3390/jcdd9110404
Jacob S, N. Pham A, M. Pham S. Evolution of Heart Transplantation Surgical Techniques. In: Heart Transplantation - New Insights in Therapeutic Strategies. IntechOpen; 2022. doi: 10.5772/intechopen.102512
Referanslar
McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021 Sep 21;42(36):3599–726. doi: 10.1093/eurheartj/ehab368
Yagdi T. Heart transplantation: preoperative evaluation, perioperative management, postoperative follow-up. Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology. 2015;43(1):95–108. doi: 10.5543/tkda.2015.27628
Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM, et al. w. Circulation. 2022 May 3;145(18). doi: 10.1161/CIR.0000000000001063
Gustafsson F, Rogers JG. Left ventricular assist device therapy in advanced heart failure: patient selection and outcomes. Eur J Heart Fail. 2017 May;19(5):595–602. doi: 10.1002/ejhf.779
Baumwol J. “I Need Help”—A mnemonic to aid timely referral in advanced heart failure. The Journal of Heart and Lung Transplantation. 2017 May;36(5):593–4. doi: 10.1016/j.healun.2017.02.010
Mehra MR, Canter CE, Hannan MM, Semigran MJ, Uber PA, Baran DA, et al. The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: A 10-year update. The Journal of Heart and Lung Transplantation. 2016 Jan;35(1):1–23. doi: 10.1016/j.healun.2015.10.023
Jessup M, Drazner MH, Book W, Cleveland JC, Dauber I, Farkas S, et al. 2017 ACC/AHA/HFSA/ISHLT/ACP Advanced Training Statement on Advanced Heart Failure and Transplant Cardiology (Revision of the ACCF/AHA/ACP/HFSA/ISHLT 2010 Clinical Competence Statement on Management of Patients With Advanced Heart Failure and Cardiac Transplant): A Report of the ACC Competency Management Committee. J Am Coll Cardiol. 2017 Jun 20;69(24):2977–3001. doi: 10.1016/j.jacc.2017.03.001
Immohr MB, Boeken U, Bruno RR, Sugimura Y, Mehdiani A, Aubin H, et al. Optimizing Anastomoses Technique in Orthotopic Heart Transplantation: Comparison of Biatrial, Bicaval and Modified Bicaval Technique. J Cardiovasc Dev Dis. 2022 Nov 20;9(11):404. doi: 10.3390/jcdd9110404
Jacob S, N. Pham A, M. Pham S. Evolution of Heart Transplantation Surgical Techniques. In: Heart Transplantation - New Insights in Therapeutic Strategies. IntechOpen; 2022. doi: 10.5772/intechopen.102512
