Affiliation: Columbia University
DeRoo S, Takayama H, Nemeth S, Garan A, Kurlansky P, Restaino S, et al
. Extracorporeal membrane oxygenation for primary graft dysfunction after heart transplant. J Thorac Cardiovasc Surg. 2019;: pubmed publisher
..094). Prompt venoarterial extracorporeal membrane oxygenation use for primary graft dysfunction after heart transplant results in excellent myocardial recovery and a possible decrease in mortality without increased risk of complications. ..
Takeda K, Takayama H, Colombo P, Jorde U, Yuzefpolskaya M, Fukuhara S, et al
. Late right heart failure during support with continuous-flow left ventricular assist devices adversely affects post-transplant outcome. J Heart Lung Transplant. 2015;34:667-74 pubmed publisher
..0001). Late RHF during LVAD support adversely affects post-transplant survival. ..
Takeda K, Takayama H, Colombo P, Yuzefpolskaya M, Fukuhara S, Han J, et al
. Incidence and clinical significance of late right heart failure during continuous-flow left ventricular assist device support. J Heart Lung Transplant. 2015;34:1024-32 pubmed publisher
..Late RHF is common after continuous-flow LVAD implantation, but does not affect survival during LVAD support. However, it is associated with worse overall outcomes in the BTT population. ..
Han J, Mauro C, Kurlansky P, Fukuhara S, Yuzefpolskaya M, Topkara V, et al
. Impact of Obesity on Readmission in Patients With Left Ventricular Assist Devices. Ann Thorac Surg. 2018;105:1192-1198 pubmed publisher
..Patients with an elevated body mass index are at increased risk for readmissions for device failure and right heart failure. ..
Ando M, Garan A, Takayama H, Topkara V, Han J, Kurlansky P, et al
. A continuous-flow external ventricular assist device for cardiogenic shock: Evolution over 10 years. J Thorac Cardiovasc Surg. 2018;156:157-165.e1 pubmed publisher
..04). Better outcomes in the recent era could be associated with the changes in practice patterns using continuous-flow external VAD in patients with refractory cardiogenic shock. ..
Yoshioka D, Takayama H, Garan A, Topkara V, Han J, Li B, et al
. Bridge to durable left ventricular assist device for refractory cardiogenic shock. J Thorac Cardiovasc Surg. 2017;153:752-762.e5 pubmed publisher
..However, the early mortality rate after durable left ventricular assist device implantation is high because of unrecognized right ventricular failure. ..
Takeda K, Li B, Garan A, Topkara V, Han J, Colombo P, et al
. Improved outcomes from extracorporeal membrane oxygenation versus ventricular assist device temporary support of primary graft dysfunction in heart transplant. J Heart Lung Transplant. 2017;36:650-656 pubmed publisher
..03). The 3-year post-transplant survival was 41% in the VAD group and 66% in the VA-ECMO group (p = 0.13). For severe PGD, support with VA-ECMO appears to result in better clinical outcomes compared with VAD. ..
Yoshioka D, Takayama H, Colombo P, Yuzefpolskaya M, Garan A, Topkara V, et al
. Changes in End-Organ Function in Patients With Prolonged Continuous-Flow Left Ventricular Assist Device Support. Ann Thorac Surg. 2017;103:717-724 pubmed publisher
..However, in most, the initial improvement in renal function is largely transient and returns to baseline after a prolonged support period. ..
Salna M, Takayama H, Garan A, Kurlansky P, Farr M, Colombo P, et al
. Incidence and risk factors of groin lymphocele formation after venoarterial extracorporeal membrane oxygenation in cardiogenic shock patients. J Vasc Surg. 2018;67:542-548 pubmed publisher
..Lymphocele formation is relatively common after femoral VA-ECMO. There was a significantly higher incidence of lymphocele formation in diabetic patients requiring support for PGD after heart transplantation. ..