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Waitlist and transplant outcomes for patients bridged to heart transplantation with Impella 5.0 and 5.5 devices
ConclusionsImpella devices can be used as a BTT with excellent survival and minimal post-transplant morbidity. Outcomes were comparable for Impella 5.0 and 5.5 devices.
Source: Journal of Cardiac Surgery - November 15, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Morgan A. Hill, Jennie H. Kwon, Khaled Shorbaji, Arman Kilic Tags: ORIGINAL ARTICLE Source Type: research

Impact of occurrence of cardiac arrest in the donor on long ‐term outcomes of pediatric heart transplantation
ConclusionThe occurrence of donor cardiac arrest has no impact on long-term survival in pediatric heart transplant recipients.
Source: Journal of Cardiac Surgery - November 8, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Sandeep Sainathan, Sameh Said, Tamy Tsujimoto, Feng ‐Chang Lin, Leonardo Mullinari, Mahesh Sharma Tags: ORIGINAL ARTICLE Source Type: research

The HeartMate 3 left ventricular assist device as a strategy to bridge to transplant
ConclusionsThe HM3 is a viable method for BTT with acceptable waitlist outcomes. Although 1-year survival is comparable to primary OHT, early outcomes are worse, suggesting that refinement of patient selection and perioperative management is prudent to optimizing outcomes.
Source: Journal of Cardiac Surgery - November 2, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Maxwell F. Kilcoyne, Lauren V. Huckaby, Zubair Hashmi, Lucas Witer, Nicolas Pope, Brian A. Houston, Chakradhari Inampudi, Ryan J. Tedford, Arman Kilic Tags: ORIGINAL ARTICLE Source Type: research

Determining  optimal donor heart ischemic times in adult cardiac transplantation
ConclusionsThe donor heart IT threshold for survival determined from unbiased statistical modeling occurs at 3  h. With longer preservation times, transplantation with O donor hearts was associated with worse survival.
Source: Journal of Cardiac Surgery - April 30, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Paul C. Tang, Xiaoting Wu, Min Zhang, Donald Likosky, Jonathan W. Haft, Ienglam Lei, Ashraf Abou El Ela, Ming ‐Sing Si, Keith D. Aaronson, Francis D. Pagani Tags: ORIGINAL ARTICLE Source Type: research

Controlled temperatures in cold preservation provides safe heart transplantation results
ConclusionUsing the SherpaPak system during heart transplantation is safe and not associated with significant recipient morbidity. None of the recipients experienced significant PGD and mortality.
Source: Journal of Cardiac Surgery - January 21, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Macit Bitargil, Osama Haddad, Si M. Pham, Rohan M. Goswami, Parag C. Patel, Samuel Jacob, Magdy M. El ‐Sayed Ahmed, Juan Carlos Leoni Moreno, Daniel S. Yip, Kevin Landolfo, Basar Sareyyupoglu Tags: ORIGINAL ARTICLE Source Type: research

Outflow cannula position for left ventricular assist device: A propensity score ‐matched study
ConclusionNo observed difference in mortality when adjusting for competing risk of heart transplantation. There was also no difference in stroke, pump thrombosis, driveline infection. Larger studies are required to confirm these findings. These preliminary data support the use of left-sided anastomoses to facilitate subsequent re-entry during heart transplantation.
Source: Journal of Cardiac Surgery - August 25, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Khalil Jawad, Frank Koziarz, Alex Koziarz, Joanna N. Bouez, Naoto Fukunaga, Michael A. Borger, Vivek Rao Tags: ORIGINAL ARTICLE Source Type: research

Risk factors for heart transplant survival with greater than 5  h of donor heart ischemic time
ConclusionPreservation time  >5  h is associated with worse survival. This mortality risk is further amplified by preoperative dialysis and ECMO, ischemic cardiomyopathy etiology, and use of O blood type donor hearts.
Source: Journal of Cardiac Surgery - May 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Paul C. Tang, Ienglam Lei, Y. E. Chen, Zhong Wang, Gorav Ailawadi, Matthew A. Romano, Shachi Salvi, Keith D. Aaronson, Ming ‐Sing Si, Francis D. Pagani, Jonathan W. Haft Tags: ORIGINAL ARTICLE Source Type: research

Medical malpractice in heart transplantation from 1994 to 2019
ConclusionsThere should be an emphasis on documenting informed consent from all involved parties in heart transplantation to limit litigations filed against clinicians. As technologies and growing donor pools increase the prevalence of heart transplantation, clinicians would be well ‐served to be aware of legally tenable practices that will allow them to adopt a higher transplant volume without simultaneously adopting added legal exposure.
Source: Journal of Cardiac Surgery - May 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ashwin Palaniappan, Frank W. Sellke, Afshin Ehsan Tags: ORIGINAL 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

Preoperative prealbumin does not impact outcomes after left ventricular assist device implantation
ConclusionsThis study demonstrates that lower prealbumin levels were not predictive of increased post ‐LVAD morbidity or mortality. Although an established marker of nutritional and inflammatory status, the role of prealbumin in patient selection or prognostication appears limited in LVAD patients.
Source: Journal of Cardiac Surgery - March 31, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Yeahwa Hong, Laura Seese, Gavin Hickey, Michael Mathier, Floyd Thoma, Arman Kilic Tags: ORIGINAL ARTICLE Source Type: research

Stroke risk following implantation of current generation centrifugal flow left ventricular assist devices
ConclusionsDifferent LVAD models appear to be associated with significantly different stroke risks.
Source: Journal of Cardiac Surgery - December 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yuting P. Chiang, Daniel Cox, Jacob N. Schroder, Mani A. Daneshmand, Laura J. Blue, Chetan B. Patel, Adam D. DeVore, Muath Bishawi, Carmelo A. Milano Tags: ORIGINAL ARTICLE Source Type: research

Stroke after implantation of continuous flow left ventricular assist devices
ConclusionThe occurrence of stroke significantly increases morbidity and mortality after LVAD implantation. Despite an adverse impact on survival and quality of life, several patients who suffered stroke still received a heart transplant. Furthermore, none of our patients had recurrence of a neurological event. Strict implementation of anticoagulation protocols is likely the mainstay of preventing this devastating complication.
Source: Journal of Cardiac Surgery - May 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Athanasios Tsiouris, Ioannis Heliopoulos, Dimitrios Mikroulis, Panayiotis D. Mitsias Tags: ORIGINAL ARTICLE Source Type: research

Sternal wound complications in patients undergoing orthotopic heart transplantation
ConclusionSternal wound infections impart a significant burden on patients with OHT. Causative organisms are predominantly virulent gram ‐negative bacteria. Therefore, a high index of suspicion must be maintained for early detection and treatment.
Source: Journal of Cardiac Surgery - February 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tyler J. Wallen, Andreas Habertheuer, Jean P. Gottret, Matthew Kramer, Zara Abbas, Mary Siki, Reilly Hobbs, Charlie Vasquez, Maria Molina, Suhail Kanchwala, David Low, Michael Acker, Prashanth Vallabhajosyula Tags: ORIGINAL ARTICLE Source Type: research