Duration of Bridge-to-Transplant Extracorporeal Membrane Oxygenation and Heart Transplant Survival

Background. The 2018 Organ Procurement and Transplantation Network (OPTN) heart allocation policy change prioritizes patients bridged to transplant with mechanical circulatory support (MCS) devices, including extracorporeal membrane oxygenation (ECMO). As a result, the use of ECMO has significantly...

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Bibliographic Details
Published in:Journal of cardiac surgery 2023-12, Vol.2023, p.1-8
Main Authors: McGoldrick, Matthew T., Barbur, Iulia, Etchill, Eric W., Giuliano, Katherine, Hsu, Steven, Sharma, Kavita, Kilic, Ahmet, Choi, Chun Woo
Format: Article
Language:English
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Summary:Background. The 2018 Organ Procurement and Transplantation Network (OPTN) heart allocation policy change prioritizes patients bridged to transplant with mechanical circulatory support (MCS) devices, including extracorporeal membrane oxygenation (ECMO). As a result, the use of ECMO has significantly increased. Methods. We reviewed the OPTN database for adult patients undergoing heart transplant after bridge with ECMO between January 1st 2000 and October 18th 2018. We excluded patients with ≥180 days of ECMO duration, prior transplants, and those using additional MCS devices. Survival and morbidity outcomes of patients with ≥7 days of pre-transplant ECMO were compared to those of patients with
ISSN:0886-0440
1540-8191
DOI:10.1155/2023/4339284