Policy and Oversight of Cardiac Transplantation

The first heart transplantation in the United States was performed in 1968. The first national heart allocation system was developed two decades later in 1988 as a two-tiered system. Our current heart allocation system, adopted in 2018 as a six-tiered system, is evolving to become a continuous distr...

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Main Authors: Amit Alam, Shelley Hall
Format: Article
Language:English
Published: Houston Methodist DeBakey Heart & Vascular Center 2025-05-01
Series:Methodist DeBakey Cardiovascular Journal
Subjects:
Online Access:https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1567
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author Amit Alam
Shelley Hall
author_facet Amit Alam
Shelley Hall
author_sort Amit Alam
collection DOAJ
description The first heart transplantation in the United States was performed in 1968. The first national heart allocation system was developed two decades later in 1988 as a two-tiered system. Our current heart allocation system, adopted in 2018 as a six-tiered system, is evolving to become a continuous distribution model. Herein, we review the history of the Organ Procurement and Transplantation Network, the evolution of the cardiac allocation system, modern day challenges of the current heart allocation system policy, and the future of transplantation given ongoing implementation of the modernization initiative.
format Article
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institution Kabale University
issn 1947-6108
language English
publishDate 2025-05-01
publisher Houston Methodist DeBakey Heart & Vascular Center
record_format Article
series Methodist DeBakey Cardiovascular Journal
spelling doaj-art-f7c35c72227e4c049ffb7b2d2a547fe22025-08-20T03:47:06ZengHouston Methodist DeBakey Heart & Vascular CenterMethodist DeBakey Cardiovascular Journal1947-61082025-05-01213839110.14797/mdcvj.15671545Policy and Oversight of Cardiac TransplantationAmit Alam0https://orcid.org/0000-0002-3040-3957Shelley Hall1https://orcid.org/0000-0002-5989-2934New York University Grossman School of Medicine, New York, NY; NYU Langone Health, New York, NYBaylor University Medical Center, Dallas, Texas; Baylor Scott & White Health, Dallas, TexasThe first heart transplantation in the United States was performed in 1968. The first national heart allocation system was developed two decades later in 1988 as a two-tiered system. Our current heart allocation system, adopted in 2018 as a six-tiered system, is evolving to become a continuous distribution model. Herein, we review the history of the Organ Procurement and Transplantation Network, the evolution of the cardiac allocation system, modern day challenges of the current heart allocation system policy, and the future of transplantation given ongoing implementation of the modernization initiative.https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1567heart transplantallocationhealth resources and services administration (hrsa)organ procurement and transplantation network (optn)united network for organ sharing (unos)transplant policy
spellingShingle Amit Alam
Shelley Hall
Policy and Oversight of Cardiac Transplantation
Methodist DeBakey Cardiovascular Journal
heart transplant
allocation
health resources and services administration (hrsa)
organ procurement and transplantation network (optn)
united network for organ sharing (unos)
transplant policy
title Policy and Oversight of Cardiac Transplantation
title_full Policy and Oversight of Cardiac Transplantation
title_fullStr Policy and Oversight of Cardiac Transplantation
title_full_unstemmed Policy and Oversight of Cardiac Transplantation
title_short Policy and Oversight of Cardiac Transplantation
title_sort policy and oversight of cardiac transplantation
topic heart transplant
allocation
health resources and services administration (hrsa)
organ procurement and transplantation network (optn)
united network for organ sharing (unos)
transplant policy
url https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1567
work_keys_str_mv AT amitalam policyandoversightofcardiactransplantation
AT shelleyhall policyandoversightofcardiactransplantation