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  • Title: Pediatric heart allocation and transplantation in Eurotransplant.
    Author: Smits JM, Thul J, De Pauw M, Delmo Walter E, Strelniece A, Green D, de Vries E, Rahmel A, Bauer J, Laufer G, Hetzer R, Reichenspurner H, Meiser B.
    Journal: Transpl Int; 2014 Sep; 27(9):917-25. PubMed ID: 24853064.
    Abstract:
    Pediatric heart allocation in Eurotransplant (ET) has evolved over the past decades to better serve patients and improve utilization. Pediatric heart transplants (HT) account for 6% of the annual transplant volume in ET. Death rates on the pediatric heart transplant waiting list have decreased over the years, from 25% in 1997 to 18% in 2011. Within the first year after listing, 32% of all infants (<12 months), 20% of all children aged 1-10 years, and 15% of all children aged 11-15 years died without having received a heart transplant. Survival after transplantation improved over the years, and in almost a decade, the 1-year survival went from 83% to 89%, and the 3-year rates increased from 81% to 85%. Improved medical management of heart failure patients and the availability of mechanical support for children have significantly improved the prospects for children on the heart transplant waiting list.
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