BTT-ECMO Trends and Outcomes Under Revised Heart Allocation System
Under the revised UNOS heart allocation system, waitlist and post-transplant outcomes among patients bridged to transplant with VA-ECMO (BTT-ECMO) have improved. However, it remains largely unknown if these early trends have persisted over time. We queried the UNOS database for all adult heart-only...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | JHLT Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2950133424001290 |
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| author | Aniket S. Rali, MD, FACC, FCCP Het Patel Matthew M. Lander Kaitlyn Brennan John Trahanas Kelly Schlendorf JoAnn Lindenfeld Manreet Kanwar |
| author_facet | Aniket S. Rali, MD, FACC, FCCP Het Patel Matthew M. Lander Kaitlyn Brennan John Trahanas Kelly Schlendorf JoAnn Lindenfeld Manreet Kanwar |
| author_sort | Aniket S. Rali, MD, FACC, FCCP |
| collection | DOAJ |
| description | Under the revised UNOS heart allocation system, waitlist and post-transplant outcomes among patients bridged to transplant with VA-ECMO (BTT-ECMO) have improved. However, it remains largely unknown if these early trends have persisted over time. We queried the UNOS database for all adult heart-only BTT-ECMO recipients between January 2019 and December 2022. Our analysis shows that under the revised system, waitlist mortality and 1-year post-transplant outcomes have remained favorable, despite increased utilization of BTT-ECMO. This finding supports the original intent of the revised allocation system in ensuring more rapid transplantation of the sickest patients while avoiding a higher post-HT mortality. |
| format | Article |
| id | doaj-art-48f6d381d86d423a8e5589d4c197d40f |
| institution | Kabale University |
| issn | 2950-1334 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JHLT Open |
| spelling | doaj-art-48f6d381d86d423a8e5589d4c197d40f2025-02-09T05:01:56ZengElsevierJHLT Open2950-13342025-02-017100180BTT-ECMO Trends and Outcomes Under Revised Heart Allocation SystemAniket S. Rali, MD, FACC, FCCP0Het Patel1Matthew M. Lander2Kaitlyn Brennan3John Trahanas4Kelly Schlendorf5JoAnn Lindenfeld6Manreet Kanwar7Department of Medicine, Vanderbilt University Medical Center, Nashville, TN; Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN; Corresponding author: Aniket S. Rali, Vanderbilt University Medical Center, Division of Cardiovascular Diseases, 1215 21st Ave S 5th Floor, Nashville, TN 37232.Department of Internal Medicine, Willis Knighton Health System, Shreveport, LACardiovascular Institute, Allegheny Health Network, Pittsburgh, PADepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TNDepartment of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, TNDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TNDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TNCardiovascular Institute, Allegheny Health Network, Pittsburgh, PAUnder the revised UNOS heart allocation system, waitlist and post-transplant outcomes among patients bridged to transplant with VA-ECMO (BTT-ECMO) have improved. However, it remains largely unknown if these early trends have persisted over time. We queried the UNOS database for all adult heart-only BTT-ECMO recipients between January 2019 and December 2022. Our analysis shows that under the revised system, waitlist mortality and 1-year post-transplant outcomes have remained favorable, despite increased utilization of BTT-ECMO. This finding supports the original intent of the revised allocation system in ensuring more rapid transplantation of the sickest patients while avoiding a higher post-HT mortality.http://www.sciencedirect.com/science/article/pii/S2950133424001290ECMOHeart transplantationOutcomesUNOS |
| spellingShingle | Aniket S. Rali, MD, FACC, FCCP Het Patel Matthew M. Lander Kaitlyn Brennan John Trahanas Kelly Schlendorf JoAnn Lindenfeld Manreet Kanwar BTT-ECMO Trends and Outcomes Under Revised Heart Allocation System JHLT Open ECMO Heart transplantation Outcomes UNOS |
| title | BTT-ECMO Trends and Outcomes Under Revised Heart Allocation System |
| title_full | BTT-ECMO Trends and Outcomes Under Revised Heart Allocation System |
| title_fullStr | BTT-ECMO Trends and Outcomes Under Revised Heart Allocation System |
| title_full_unstemmed | BTT-ECMO Trends and Outcomes Under Revised Heart Allocation System |
| title_short | BTT-ECMO Trends and Outcomes Under Revised Heart Allocation System |
| title_sort | btt ecmo trends and outcomes under revised heart allocation system |
| topic | ECMO Heart transplantation Outcomes UNOS |
| url | http://www.sciencedirect.com/science/article/pii/S2950133424001290 |
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