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Review
. 2018 Summer;30(2):129-133.
doi: 10.1053/j.semtcvs.2018.01.001. Epub 2018 Feb 2.

Potential Impact of the Proposed Revised UNOS Thoracic Organ Allocation System

Prashant Rao  1 , Richard Smith  2 , Zain Khalpey  3
Affiliations
Review

Potential Impact of the Proposed Revised UNOS Thoracic Organ Allocation System

Prashant Rao et al. Semin Thorac Cardiovasc Surg. 2018 Summer.

Abstract

The current United States heart allocation system faces 2 main challenges: an evolving landscape of device therapy in advanced heart failure and a rapidly increasing transplant waiting list. The proposed new heart allocation system involves expansion of the 3 tiers and enables greater distinction between different types of mechanical circulatory support devices. In this review, we discuss how the proposed revision reconciles key concerns of the current system to create a more fair and equitable allocation of hearts in the United States.

Keywords: heart allocation; transplant; ventricular assist device.

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