As a potential transplant candidate, you will be invited to Piedmont for an evaluation and to meet our transplant team. During the first visit, you will be seen by our heart transplant coordinator and our transplant cardiologist. Before your arrival, we will try to review all of your old records, including.
- Heart catheterization
- Stress tests
- Carotid ultrasounds (neck arteries)
- Ultrasound of the leg arteries
- Blood work
During this visit, our transplant coordinator will teach you about the transplant evaluation process. Your family is encouraged to attend with you.
Our transplant cardiologist will review your information to ensure that you are a good transplant candidate. This assessment confirms that your CHF severity is bad enough to think about transplantation, VAD, or other advanced CHF therapy. We will ensure that all other therapies have been tried or been considered. Patients are closely screened for any issues that may not make them a good candidate for transplant or VAD surgery. This screening is continued as the work-up process for surgery continues.
You will be seen and evaluated by an entire team, which includes:
- Transplant surgeon
- CHF/transplant cardiologist
- Transplant/VAD coordinator
- Social worker
- Financial coordinator
- Palliative care/spiritual care.
There are many tests and studies needed to make sure you are a good candidate for heart transplantation or VAD surgery. Some of these are listed below.
- Left and right heart catheterization
- Cardiopulmonary stress test
- Exercise stress tests
- Vaccinations such as pneumonia, Hepatitis B and Tetanus
- PAP Smear, mammogram in all females once a year
- Colonoscopy (patients over the age of 50)
- Abdominal ultrasound
- Dental evaluation
- CBC with differential
- Fasting lipid panel (LDL, HDL, cholesterol, and triglycerides)
- Thyroid function tests
- PSA in all males over the age of 50
- Blood type
- Panel reactive antibody screen (antibody screen)