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Patient Selection for Combined Heart and Kidney Transplantation

  • Chaitanya Desai
Chapter

Abstract

There are no published guidelines to help make decisions on which patients will benefit from combined heart–kidney transplant (CHKT) versus heart transplant alone (HTA). Listing criteria are largely center-specific. Optimizing organ allocation and patient outcomes after CHKT require a close multidisciplinary team approach. This review focuses on evaluation of kidney function in the setting of advanced HF and understanding criteria for CHKT.

Keywords

Heart transplantation Kidney transplantation Combined heart–kidney transplantation Patient selection Indications for transplant listing 

Abbreviations

AKI

Acute kidney injury

CHKT

Combined heart–kidney transplant

CKD

Chronic kidney disease

CrCl

Creatinine clearance

ESRD

End stage renal disease

GFR

Glomerular filtration rate

HTA

Heart transplant alone

LVAD

Left ventricular assist device

RI

Renal insufficiency

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Advocate Christ Medical Center, University of IllinoisOak LawnUSA
  2. 2.Southwest Nephrology AssociatesEvergreen ParkUSA

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