Impact of short-term mechanical circulatory support with extracorporeal devices on postoperative outcomes after emergency heart transplantation: Data from a multi-institutional Spanish cohort

Abstract

Patients bridged to emergency HT on short-term MCS are exposed to an increased risk of postoperative complications and mortality. In our series, preoperative bridging with VA-ECMO resulted in comparable post-transplant outcomes to those of patients transplanted on conventional support.

Predictors of renal replacement therapy after heart transplantation and its impact on long‐term survival

“…However, the total duration of the RRT had a median of 15 days, which is similar to previous reports . The reason could be that a high percentage of HT carried out at our center are in an emergency status, and it has been demonstrated that patients bridged to emergency HT on short‐term MCS are exposed to an increased risk of postoperative complications …”

Are biventricular assist devices underused as a bridge to heart transplantation in patients with a high risk of postimplant right ventricular failure?

“…We avoid performing HTx directly from short-term support, because such patients are exposed to an increased risk of postoperative complications and mortality. 20,21 Instead, we have adopted the policy to convert these patients to long-term devices and list them first after end-organ recovery, rehabilitation, and home discharge. A high proportion of our patients receiving durable MCS receive implants from INTERMACS levels 1 or are converted from a short-term assist.…”

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“…9,10 We have limited experience regarding extracorporeal support for bridge to urgent heart transplant. However, our patients were successfully transplanted after support with VA-ECMO.…”