LONGITUDINAL AND CONTEMPORARY OUTCOMES OF TEMPORARY MECHANICAL CIRCULATORY SUPPORT IN CARDIAC TRANSPLANTATION

Katherine Clark, Fouad Chouiari, Michael Fuery, Paul Miller, Clancy Mullan, Samuel Reinhardt, Avirup Guha, Nihar Desai, Tariq Ahmad, Sounok Sen

Research output: Contribution to journalArticlepeer-review

Abstract

Background Use of temporary mechanical circulatory support (tMCS) has enabled hemodynamic stabilization among those awaiting heart transplantation (HT). We sought to evaluate contemporary trends of tMCS use and outcomes. Methods Adult OHT recipients from 2008-20 were identified in the United Network for Organ Sharing database who were supported by tMCS (intra-aortic balloon pump (IABP), support systems (Impella®), or extracorporeal membrane oxygenation (ECMO)) at time of transplant. We analyzed recipient and donor characteristics, waitlist, and post-transplantation outcomes. Results A total of 3,202 patients, 7.4% of total transplants, (2,691 IABP, 191 Impella, 320 ECMO) were included. Use of tMCS increased, even more after 2018, p
Original languageEnglish (US)
Pages (from-to)822
JournalJournal of the American College of Cardiology
Volume77
Issue number18
DOIs
StatePublished - May 2021

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