Five years of a self-sustaining heart transplant program in the Canary Islands
One significant challenge in heart transplant (HT) is the shortage of grafts and underutilization of the donor pool. This study analyzes the unique characteristics of the HT program in the Canary Islands, established in 2019, which operates with a predominantly self-sustaining donor pool. A retrospe...
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Elsevier
2025-08-01
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| Series: | JHLT Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2950133425000709 |
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| author | Maria del Val Groba-Marco, MD Vicente Peña-Morant, MD Francisco González-Vílchez, PhD Mario Galván-Ruiz, MD Miguel Fernandez-de-Sanmamed, MD Jose Luis Romero-Lujan, MD Francisco Portela-Torron, MD Eduardo Jose Caballero-Dorta, PhD Alicia Pérez-Blanco, PhD Antonio García-Quintana, MD |
| author_facet | Maria del Val Groba-Marco, MD Vicente Peña-Morant, MD Francisco González-Vílchez, PhD Mario Galván-Ruiz, MD Miguel Fernandez-de-Sanmamed, MD Jose Luis Romero-Lujan, MD Francisco Portela-Torron, MD Eduardo Jose Caballero-Dorta, PhD Alicia Pérez-Blanco, PhD Antonio García-Quintana, MD |
| author_sort | Maria del Val Groba-Marco, MD |
| collection | DOAJ |
| description | One significant challenge in heart transplant (HT) is the shortage of grafts and underutilization of the donor pool. This study analyzes the unique characteristics of the HT program in the Canary Islands, established in 2019, which operates with a predominantly self-sustaining donor pool. A retrospective review of the Spanish HT Registry and National Transplant Organization reports between 2020 and 2024 revealed that 97% of transplanted hearts originated from local donors. The geographical constraints of the islands create an unresolved issue with ischemic time, prompting the Canary region to establish a new HT program based on donation after circulatory death and extended criteria donors. These 2 initiatives have increased the donor pool and transplantation rates, while maintaining ethical allocation and comparable survival rates. This model highlights how regional programs can improve the underutilized donor pool and transplantation opportunities, offering a framework for future initiatives to optimize donation. |
| format | Article |
| id | doaj-art-00a0c318ece345eb96bcd36f16634570 |
| institution | Kabale University |
| issn | 2950-1334 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JHLT Open |
| spelling | doaj-art-00a0c318ece345eb96bcd36f166345702025-08-20T03:37:31ZengElsevierJHLT Open2950-13342025-08-01910027510.1016/j.jhlto.2025.100275Five years of a self-sustaining heart transplant program in the Canary IslandsMaria del Val Groba-Marco, MD0Vicente Peña-Morant, MD1Francisco González-Vílchez, PhD2Mario Galván-Ruiz, MD3Miguel Fernandez-de-Sanmamed, MD4Jose Luis Romero-Lujan, MD5Francisco Portela-Torron, MD6Eduardo Jose Caballero-Dorta, PhD7Alicia Pérez-Blanco, PhD8Antonio García-Quintana, MD9Cardiology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain; Departamento de Ciencias Medicas y Quirurgicas, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain; Corresponding author: Maria del Val Groba-Marco, MD, Hospital Universitario de Gran Canaria Dr. Negrín, Barranco de la Ballena S/N, 35010 Las Palmas de Gran Canaria, Spain.Transplant Coordination Unit, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainServicio de Cardiología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, SpainCardiology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainCardiology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainDepartment of Critical Care, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainDepartment of Cardiac Surgery, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainCardiology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainOrganización Nacional de Trasplantes, Madrid, SpainCardiology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainOne significant challenge in heart transplant (HT) is the shortage of grafts and underutilization of the donor pool. This study analyzes the unique characteristics of the HT program in the Canary Islands, established in 2019, which operates with a predominantly self-sustaining donor pool. A retrospective review of the Spanish HT Registry and National Transplant Organization reports between 2020 and 2024 revealed that 97% of transplanted hearts originated from local donors. The geographical constraints of the islands create an unresolved issue with ischemic time, prompting the Canary region to establish a new HT program based on donation after circulatory death and extended criteria donors. These 2 initiatives have increased the donor pool and transplantation rates, while maintaining ethical allocation and comparable survival rates. This model highlights how regional programs can improve the underutilized donor pool and transplantation opportunities, offering a framework for future initiatives to optimize donation.http://www.sciencedirect.com/science/article/pii/S2950133425000709heart transplantequitysustainabilitydonor pooldonation after circulatory death |
| spellingShingle | Maria del Val Groba-Marco, MD Vicente Peña-Morant, MD Francisco González-Vílchez, PhD Mario Galván-Ruiz, MD Miguel Fernandez-de-Sanmamed, MD Jose Luis Romero-Lujan, MD Francisco Portela-Torron, MD Eduardo Jose Caballero-Dorta, PhD Alicia Pérez-Blanco, PhD Antonio García-Quintana, MD Five years of a self-sustaining heart transplant program in the Canary Islands JHLT Open heart transplant equity sustainability donor pool donation after circulatory death |
| title | Five years of a self-sustaining heart transplant program in the Canary Islands |
| title_full | Five years of a self-sustaining heart transplant program in the Canary Islands |
| title_fullStr | Five years of a self-sustaining heart transplant program in the Canary Islands |
| title_full_unstemmed | Five years of a self-sustaining heart transplant program in the Canary Islands |
| title_short | Five years of a self-sustaining heart transplant program in the Canary Islands |
| title_sort | five years of a self sustaining heart transplant program in the canary islands |
| topic | heart transplant equity sustainability donor pool donation after circulatory death |
| url | http://www.sciencedirect.com/science/article/pii/S2950133425000709 |
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