Journal article
BTT-ECMO Trends and Outcomes Under Revised Heart Allocation System
JHLT open, v 7, 100180
Feb 2025
Abstract
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.
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Details
- Title
- BTT-ECMO Trends and Outcomes Under Revised Heart Allocation System
- Creators
- Aniket S. Rali - Vanderbilt University Medical CenterHet Patel - WillisMatthew M. Lander - Allegheny Health NetworkKaitlyn Brennan - Vanderbilt University Medical CenterJohn Trahanas - Vanderbilt University Medical CenterKelly Schlendorf - Vanderbilt University Medical CenterJoAnn Lindenfeld - Vanderbilt University Medical CenterManreet Kanwar - Allegheny Health Network
- Publication Details
- JHLT open, v 7, 100180
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Medicine (Graduate); Cardiology
- Scopus ID
- 2-s2.0-105010952616
- Other Identifier
- 991022005077304721