Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) Support in New Era of Heart Transplant

Heart failure is a serious and challenging medical condition characterized by the inability of the heart to pump blood effectively, leading to reduced blood flow to organs and tissues. Several underlying causes may be linked to this, including coronary artery disease, hypertension, or previous heart...

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Main Authors: Lorenzo Giovannico, Giuseppe Fischetti, Domenico Parigino, Luca Savino, Nicola Di Bari, Aldo Domenico Milano, Massimo Padalino, Tomaso Bottio
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Transplant International
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Online Access:https://www.frontierspartnerships.org/articles/10.3389/ti.2024.12981/full
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author Lorenzo Giovannico
Giuseppe Fischetti
Domenico Parigino
Luca Savino
Nicola Di Bari
Aldo Domenico Milano
Massimo Padalino
Tomaso Bottio
author_facet Lorenzo Giovannico
Giuseppe Fischetti
Domenico Parigino
Luca Savino
Nicola Di Bari
Aldo Domenico Milano
Massimo Padalino
Tomaso Bottio
author_sort Lorenzo Giovannico
collection DOAJ
description Heart failure is a serious and challenging medical condition characterized by the inability of the heart to pump blood effectively, leading to reduced blood flow to organs and tissues. Several underlying causes may be linked to this, including coronary artery disease, hypertension, or previous heart attacks. Therefore, it is a chronic condition that requires ongoing management and medical attention. HF affects >64 million individuals worldwide. Heart transplantation remains the gold standard of treatment for patients with end-stage cardiomyopathy. The recruitment of marginal donors may be considered an asset at the age of cardiac donor organ shortage. Primary graft dysfunction (PGD) is becoming increasingly common in the new era of heart transplantations. PGD is the most common cause of death within 30 days of cardiac transplantation. Mechanical Circulatory Support (MCS), particularly venoarterial extracorporeal membrane oxygenation (V-A ECMO), is the only effective treatment for severe PGD. VA-ECMO support ensures organ perfusion and provides the transplanted heart with adequate rest and recovery. In the new era of heart transplantation, early use allows for increased patient survival and careful management reduces complications.
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publishDate 2024-12-01
publisher Frontiers Media S.A.
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series Transplant International
spelling doaj-art-31d8317cf8c24958bbbdb41c46d97ccf2025-08-20T02:37:01ZengFrontiers Media S.A.Transplant International1432-22772024-12-013710.3389/ti.2024.1298112981Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) Support in New Era of Heart TransplantLorenzo GiovannicoGiuseppe FischettiDomenico PariginoLuca SavinoNicola Di BariAldo Domenico MilanoMassimo PadalinoTomaso BottioHeart failure is a serious and challenging medical condition characterized by the inability of the heart to pump blood effectively, leading to reduced blood flow to organs and tissues. Several underlying causes may be linked to this, including coronary artery disease, hypertension, or previous heart attacks. Therefore, it is a chronic condition that requires ongoing management and medical attention. HF affects >64 million individuals worldwide. Heart transplantation remains the gold standard of treatment for patients with end-stage cardiomyopathy. The recruitment of marginal donors may be considered an asset at the age of cardiac donor organ shortage. Primary graft dysfunction (PGD) is becoming increasingly common in the new era of heart transplantations. PGD is the most common cause of death within 30 days of cardiac transplantation. Mechanical Circulatory Support (MCS), particularly venoarterial extracorporeal membrane oxygenation (V-A ECMO), is the only effective treatment for severe PGD. VA-ECMO support ensures organ perfusion and provides the transplanted heart with adequate rest and recovery. In the new era of heart transplantation, early use allows for increased patient survival and careful management reduces complications.https://www.frontierspartnerships.org/articles/10.3389/ti.2024.12981/fullheart transplantheart failureprimary graft dysfunctionECMOheart disease
spellingShingle Lorenzo Giovannico
Giuseppe Fischetti
Domenico Parigino
Luca Savino
Nicola Di Bari
Aldo Domenico Milano
Massimo Padalino
Tomaso Bottio
Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) Support in New Era of Heart Transplant
Transplant International
heart transplant
heart failure
primary graft dysfunction
ECMO
heart disease
title Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) Support in New Era of Heart Transplant
title_full Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) Support in New Era of Heart Transplant
title_fullStr Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) Support in New Era of Heart Transplant
title_full_unstemmed Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) Support in New Era of Heart Transplant
title_short Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) Support in New Era of Heart Transplant
title_sort veno arterial extracorporeal membrane oxygenation va ecmo support in new era of heart transplant
topic heart transplant
heart failure
primary graft dysfunction
ECMO
heart disease
url https://www.frontierspartnerships.org/articles/10.3389/ti.2024.12981/full
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