Impact of the UNOS Policy Allocation Change on Waitlist Outcomes in Patients Bridged to Heart Transplantation on Impella

Kingsford, P.; Onwuzurike, J.; Li, J.P.; Bradley, C P; Vaidya, A.S.; Wolfson, A.M.; DePasquale, E.C.

doi:10.1016/j.healun.2021.01.763

Search citation statements

Order By: Relevance

Paper Sections

Select...

Temporary Mechanical Circulatory Support1

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2022

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Given the recent update to the UNOS heart transplant allocation criteria, the use of temporary MCS may help shorten the waitlist time for transplants in ACHD patients. In non-ACHD patients, Impella use has been found to decrease end-organ dysfunction and waitlist times [ 59 , 60 ]. Anecdotally, Impella has been used for multiple months as a bridge to transplant, especially in cases where an operation for a durable VAD implant is thought to be high risk.…”

Section: Temporary Mechanical Circulatory Supportmentioning

confidence: 99%

Durable Mechanical Circulatory Support in Adult Congenital Heart Disease: Reviewing Clinical Considerations and Experience

Saef

Montgomery

Cedars

et al. 2022

JCM

View full text Add to dashboard Cite

Adults with congenital heart disease (ACHD) patients are one of the fastest growing populations in cardiology, and heart failure (HF) is the most common cause of morbidity and mortality amongst them. The need for advanced HF therapies in ACHD patients stands to grow substantially. The anatomic considerations for placing durable mechanical circulatory support (MCS) devices in ACHD patients often require specialized approaches. Despite this, increasing evidence suggests that durable MCS can be implanted safely with favorable outcomes in ACHD patients. Expansion of MCS use in ACHD patients is imperative to improve their clinical outcomes. Knowledge of ACHD-specific anatomic and physiologic considerations is crucial to HF programs’ success as they work to provide care to this growing population.

show abstract

Section: Temporary Mechanical Circulatory Supportmentioning

confidence: 99%