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Elective Cardiopulmonary Bypass for Lung Transplantation: Is It Safer Than We Think
The use of cardiopulmonary bypass (CPB) during lung transplantation is controversial. CPB can offer improved visualization, better control of central vasculature, and possibly faster operations. Opponents argue the use of CPB results in higher transfusion requirements, increased rates of primary graft dysfunction (PGD), and more complications such as stroke, acute kidney injury (AKI) and renal failure requiring hemodialysis. In the fall of 2020 our program transitioned to performing all lung transplants on CPB.
Source: The Journal of Heart and Lung Transplantation - April 1, 2023 Category: Transplant Surgery Authors: W. Blanding, M. Hill, Z. Hashmi, T. Whelan, L. Paoletti, K. Engelhardt, B. Gibney Tags: (920) Source Type: research

Isolated Tricuspid Operations: Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis
CONCLUSIONS: Isolated tricuspid repair was associated with lower adjusted mortality and morbidities than replacement. Beating heart operation was associated with lower adjusted major morbidities. Pre-operative MELD scores may identify high-risk patients, and referral to higher volume centers may help improve outcomes.PMID:36696939 | DOI:10.1016/j.athoracsur.2022.12.041
Source: The Annals of Thoracic Surgery - January 25, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Qiudong Chen Michael E Bowdish Jad Malas Amy Roach George Gill Georgina Rowe Jason Thomas Dominic Emerson Alfredo Trento Natalia Egorova Joanna Chikwe Source Type: research

Contemporary Mechanical Circulatory Support With Continuous-Flow Biventricular Assist Devices: A Systematic Review
As the incidence of heart failure increases, so too has that of biventricular failure. While transplantation remains the gold standard therapy for end-stage heart failure, the limited organ supply has increased the need for durable mechanical circulatory support. We therefore sought to conduct a systematic review of continuous-flow ventricular assist devices in a biventricular configuration (CF-BiVAD). An electronic search of PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases was performed using the keyword “BIVAD.” Studies were reviewed to identify discrete variables, including impl...
Source: Cardiology in Review - June 10, 2022 Category: Cardiology Tags: Review Articles Source Type: research

Early postoperative effects of kidney transplantation on the cardiovascular system in our clinical practice
CONCLUSION: After transplantation, the left atrial and the end-systolic diameter of the left ventricle regrediated, decreasing the frequency of arrhythmic episodes. The number of the middle grade mitral valve regurgitation decreased and the calcification among diabetic population increased significantly. Orv Hetil. 2021; 162(26): 1052-1062.PMID:34175832 | DOI:10.1556/650.2021.32269
Source: Orvosi Hetilap - June 27, 2021 Category: General Medicine Authors: Andrea Darag ó Gerda Schwegler Eszter Szab ó Dorina Bark ó R éka P Szabó Attila Csaba Nagy Gerg ő József Szőllősi Bal ázs Nemes Source Type: research

A vesetranszplant áció korai posztoperatív hatásai a szív- és érrendszeri betegségekre klinikai gyakorlatunkban
CONCLUSION: After transplantation, the left atrial and the end-systolic diameter of the left ventricle regrediated, decreasing the frequency of arrhythmic episodes. The number of the middle grade mitral valve regurgitation decreased and the calcification among diabetic population increased significantly. Orv Hetil. 2021; 162(26): 1052-1062.PMID:34175832 | DOI:10.1556/650.2021.32269
Source: Orvosi Hetilap - June 27, 2021 Category: General Medicine Authors: Andrea Darag ó Gerda Schwegler Eszter Szab ó Dorina Bark ó R éka P Szabó Attila Csaba Nagy Gerg ő József Szőllősi Bal ázs Nemes Source Type: research

Early postoperative effects of kidney transplantation on the cardiovascular system in our clinical practice
CONCLUSION: After transplantation, the left atrial and the end-systolic diameter of the left ventricle regrediated, decreasing the frequency of arrhythmic episodes. The number of the middle grade mitral valve regurgitation decreased and the calcification among diabetic population increased significantly. Orv Hetil. 2021; 162(26): 1052-1062.PMID:34175832 | DOI:10.1556/650.2021.32269
Source: Orvosi Hetilap - June 27, 2021 Category: General Medicine Authors: Andrea Darag ó Gerda Schwegler Eszter Szab ó Dorina Bark ó R éka P Szabó Attila Csaba Nagy Gerg ő József Szőllősi Bal ázs Nemes Source Type: research

Complications of left ventricular assist devices causing high urgency status on waiting list: impact on outcome after heart transplantation
ConclusionsLeft ventricular assist device therapy can impair the outcome after HTx. However, the occurrence of LVAD complications may not impact on outcome after HTx. Thus, we cannot support the prioritization or discrimination of HTx candidates according to distinct mechanical circulatory support ‐associated complications. Future allocation strategies have to respect that device‐related complications may define urgency but do not impact on the outcome after HTx.
Source: ESC Heart Failure - March 29, 2021 Category: Cardiology Authors: Moritz Benjamin Immohr, Udo Boeken, Franziska Mueller, Emir Prashovikj, Michiel Morshuis, Charlotte B öttger, Hug Aubin, Jan Gummert, Payam Akhyari, Artur Lichtenberg, René Schramm Tags: Original Research Article Source Type: research

A mortality risk score for heart transplants after contemporary ventricular assist device bridging
ConclusionsAmong patients bridged to OHT with newer generation centrifugal LVADs, older age, increasing bilirubin, longer ischemic time, and pre ‐OHT dialysis independently predicted post‐transplant mortality. The composite risk score based on these factors may assist in patient selection and prognostication in those supported with contemporary LVADs.
Source: Journal of Cardiac Surgery - December 7, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Lauren V. Huckaby, Laura M. Seese, Gavin Hickey, Ibrahim Sultan, Arman Kilic Tags: ORIGINAL ARTICLE Source Type: research

Extracorporeal membrane oxygenation bridge to heart transplant: Trends following the allocation change
ConclusionsThe UNOS heart allocation policy change has resulted in decreased waitlist times and higher likelihood of transplant in patients supported with ECMO. Posttransplant 1 ‐year survival has remained comparable although absolute rates are lower.
Source: Journal of Cardiac Surgery - October 14, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nicholas R. Hess, Gavin W. Hickey, Ibrahim Sultan, Arman Kilic Tags: ORIGINAL ARTICLE Source Type: research

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