Standards & Guidelines
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ISHLT Consensus Statement on the Perioperative Use of ECLS in Lung Transplantation: Part I - Preoperative Considerations17 October 2025
This document is a multidisciplinary consensus document developed to examine the perioperative considerations for how best to manage patients with ECLS, focusing on preoperative considerations.
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ISHLT Consensus Statement on the Referral and Selection of Pediatric Lung Transplant Candidates8 October 2025
This document is meant to assist pediatric care providers in identifying potential candidates for LTx, optimizing the timing of the referral of patients to LTx centers, and providing a framework for the evaluation and selection of children as candidates.
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ISHLT Consensus Statement on Risk Stratification in Pulmonary Arterial Hypertension5 September 2025
This document provides clinicians with a practical framework for the application of risk stratification systems, in order to improve the understanding and utilization of risk stratification tools in real world practice.
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ISHLT Statement on Vaccines in Transplant Recipients27 August 2025
ISHLT reaffirms its strong support for the role of vaccines in protecting the health and survival of heart and lung transplant candidates and recipients.
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ISHLT Guidelines for the Management of Pediatric Heart Failure(Update from 2014)21 August 2025
An update to the document published in 2014, this guideline for the management of pediatric heart failure incorporates interval advancements in medical therapies and new approaches in the evaluation and management of children with heart failure.
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Summary of the ISHLT Consensus Conference on Emerging Understanding of Antibodies and Antibody-Mediated Rejection in Heart Transplantation11 June 2025
This Consensus Conference Summary presents the findings and consensus statements from the April 2023 consensus conference on antibodies and AMR in heart transplant patients, endorsed by ISHLT.
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ISHLT Consensus Statement on the Perioperative Use of ECLS in Lung Transplantation: Part III - Postoperative Considerations2 June 2025
This document is a multidisciplinary consensus document developed to examine the perioperative considerations for how best to manage patients with ECLS, focusing on postoperative considerations.
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A Consensus-Based Framework for the Psychosocial Evaluation of Pediatric Candidates for Cardiothoracic Transplant and Ventricular Assist Devices1 April 2025
Endorsd by ISHLT, this consensus-based framework represents the first of it's kind specific to both the content and process of the psychosocial evaluation for pediatric cardiothoracic transplantation/VAD.
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ISHLT Consensus Statement on the Perioperative Use of ECLS in Lung Transplantation: Part II - Intraoperative Considerations23 October 2024
This document is a multidisciplinary consensus document developed to examine the perioperative considerations for how best to manage patients with ECLS.
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2024 Update to the 2020 ACC/AHA Clinical Performance and Quality Measures for Adults With Heart FailureA Report of the ACC/AHA Joint Committee on Performance Measures8 August 2024
Endorsed by ISHLT, this document is a focused update to the 2020 report and describes performance measure for heart failure that are appropriate for public reporting or pay-for-performance programs.
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ISHLT Guidelines for the Evaluation and Care of Cardiac Transplant Candidates8 August 2024
This guideline document aims to provide tools to help integrate the numerous variables involved in evaluating patients for transplantation, emphasizing updating the collaborative treatment while waiting for a transplant.
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ISHLT/TTS-ID Measles Guidance for the Transplant Community24 June 2024
The ISHLT Infectious Diseases Professional Community, in collaboration with the Transplant Infectious Diseases Section of The Transplantation Society, have developed a document to provide guidance to all of the transplant community.
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An ISHLT Consensus Statement on Strategies to Prevent and Manage Hemocompatibility Related Adverse Events in Patients with a Durable, Continuous-Flow Ventricular Assist Device14 June 2024
This ISHLT Consensus Statement is intended to assist clinicians caring for patients with a CF-LVAD provide the best care possible with respect to prevention and management of these events.
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Ethical Considerations in Xenotransplantation of Thoracic Organs – A Call for a Debate on Value Based Decisions22 May 2024
Highlighting ethical considerations regarding heart and lung xenotransplantation, this paper encourages the readers to consider the vast potential of this emerging technique to do good, but also the risk of doing harm, and to participate in a discussion.
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ISHLT 2024 Infection Definitions for Durable and Acute Mechanical Circulatory Support Devices1 May 2024
Infections remain a significant concern in patients receiving both durable and acute MCS devices. This consensus manuscript provides updated definitions for infections associated with durable MCS devices and new definitions for infections in acute MCS.
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Assessing and Managing Frailty in Advanced Heart Failure: An ISHLT Consensus Statement19 December 2023
The purpose of this consensus statement is to provide an integrated perspective on the definition of frailty in advanced HF and to generate a consensus on how to assess and manage frailty.
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Consensus Statements from the ISHLT Consensus Conference: Heart Failure Related Cardiogenic Shock8 December 2023
This consensus statement summarizes the results of a consensus conference premeeting survey answered by participants and the breakout sessions where predefined clinical issues were discussed to achieve consensus in the absence of robust data.
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Heart Failure Related Cardiogenic Shock: An ISHLT Consensus Conference Content Summary8 December 2023
This consensus report summarizes the contemporary literature review on heart failure related cardiogenic shock presented in the first half of the conference.
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Dual-Organ Transplantation: Indications, Evaluation, and Outcomes for Heart-Kidney and Heart-Liver Transplantation: A Scientific Statement From the American Heart Association15 August 2023
This statement describes the impact and assessment of pre-transplant renal and hepatic dysfunction, provides an approach to patient selection, and explores the ethics of multiorgan transplant and the safety net approach to dual-organ transplant.
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2023 AHA/ACC Clinical Performance and Quality Measures for Coronary Artery RevascularizationA Report of the American College of Cardiology/American Heart Association Joint Committee on Performance Measures7 July 2023
Given the substantial burden of CAD and publication of the 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization, it was deemed appropriate to develop a new set of performance and quality measures related to coronary artery revascularization.

