Synopses & Reviews
This multi-disciplinary approach to cardiac transplantation reflects the many different aspects of the medical, nursing and social sciences that come into play. It contains practical information for all members of the transplantation team - from surgeon to resident to nurse. The clinical information includes the protocols developed at the Oregon Health Sciences Center. The literature on which their experience is based is also reviewed. The chapters give an overview of aspects such as ventricular assistance, recipient/donor selection, endomyocardial biopsy, immuno-suppressive regimes, and follow-up care. The book does not attempt to be a comprehensive treatise on surgical techniques; instead it is a clear and understandable manual for all medical professionals dealing with the cardiac transplant patient.
Synopsis
Over the past ten years, cardiac transplantation has evolved from an exper imental procedure performed in a handful of university centers to a viable therapeutic modality now performed in more than 150 centers worldwide. The complexity of the procedure, the changing immunosuppressive re gimes, and the follow-up care have necessitated a multidisciplinary ap proach involving a variety of medical, nursing, and social sciences special ties and subspecialties. In addition, health care trainees and referring physicians are increasingly becoming involved in the care of the cardiac transplant recipient. This book does not attempt to be a comprehensive treatise on cardiac transplantation; rather, we hope that it will serve as a manual and guideline for all health professionals involved in cardiac trans plantation. JEFFREY D. HOSENPUD, M.D. Contents Preface v Contributors IX 1. Cardiac Transplantation: An Overview JEFFREY D. HOSENPUD AND ALBERT STARR Immunogenetics and Immunologic Mechanisms of 2. Rejection 15 DOUGLAS J. NORMAN 3. Medical Therapy Tailored for Advanced Heart Failure 33 LYNNE WARNER STEVENSON 4. Ventricular Assistance as a Bridge to Cardiac Transplantation 53 D. GLENN PENNINGTON AND MARC T. SWARTZ Recipient Selection for Cardiac Transplantation 71 5. GEORGE A. PANTELY 6. Donor Selection and Management for Cardiac Transplantation 85 JEFFREY SWANSON AND ADNAN COBANOGLU 7. Operative Techniques and Early Postoperative Care in Cardiac Transplantation 95 ADNAN COBANOGLU Endomyocardial Biopsy: Techniques and Interpretation of 8."
Synopsis
This is a practical manual (including protocols) that discusses aspects of cardiac transplantation important not only for the surgeon, but also for clinical staff, nurses, psychiatrists, and others involved in care of the cardiac transplant patient. The book gives an overview and is not limited to surgical procedures.
Table of Contents
Contents: Cardiac Transplantation: An Overview.- Immunogenetics and Immunologic Mechanisms of Rejection.- Medical Therapy Tailored for Advanced Heart Failure.- Ventricular Assistance as a Bridge to Cardiac Transplantation.- Recipient Selection for Cardiac Transplantation.- Donor Selection and Management for Cardiac Transplantation.- Operative Techniques and Early Postoperative Care in Cardiac Transplantation.- Endomyocardial Biopsy: Techniques and Interpretation of Rejection.- Chronic Immunosuppression and the Treatment of Acute Rejection.- Physiology and Hemodynamic Assessment of the Transplanted Heart.- Medical Complications in Patients after Cardiac Transplantation.- Psychiatric Considerations in the Cardiac Transplant Recipient.- Appendices.- Index.