Use of Extracorporeal Life Support for Heart Transplantation: Key Factors to Improve Outcome

نویسندگان

چکیده

Although patients receiving extracorporeal life support (ECLS) as a bridge to transplantation have demonstrated worse outcomes than those without ECLS, we investigated the key factors in improvement of their posttransplant outcome. From December 2003 2018, 257 adult who underwent heart (HTx) at our institution were included. We identified 100 (38.9%) HTx during ECLS (ECLS group). The primary outcome was 30-day mortality after HTx. median duration 10.0 days. rate 3.9% (9.2% peripheral 2.9% central and 1.9% non-ECLS). use not an independent predictor 1-year (p = 0.248 p 0.882, respectively). Independent predictors found be higher ejection fraction < 0.001), Sequential Organ Failure Assessment score total bilirubin level 0.005). In subgroup analysis, cannulation type 0.275). Early application prevent organ failure sophisticated management acute may important steps achieving favorable survival

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ژورنال

عنوان ژورنال: Journal of Clinical Medicine

سال: 2021

ISSN: ['2077-0383']

DOI: https://doi.org/10.3390/jcm10122542