%0 Journal Article
%T Influence of the Type of Circulatory/Ventricular Assistance in the Primary Graft Failure and Heart Transplantation Mortality
%A Raquel L¨®pez-Vilella
%A Ignacio J. S¨¢nchez-L¨¢zaro
%A Mar¨ªa Paz Fuset Cabanes
%A Azucena Pajares Moncho
%A Luc¨ªa Do£¿ate Bertol¨ªn
%A Ricardo Gimeno Costa
%A Ignacio Moreno Puigdollers
%A Luis Mart¨ªnez Dolz
%A Iratxe Zarragoikoetxea Jauregui
%A Salvador Torregrosa Puerta
%A Luis Almenar Bonet
%J World Journal of Cardiovascular Diseases
%P 545-552
%@ 2164-5337
%D 2019
%I Scientific Research Publishing
%R 10.4236/wjcd.2019.98047
%X OBJECTIVES: In recent years, the percentage of heart transplantation (HT) with short/medium-term assistance devices has increased. This study aims at analyzing primary graft failure and in-hospital mortality according to the type of care. MATERIAL AND METHODS: From January 2013 to December&nbsp;2017 all patients undergoing urgent HT with circulatory/ventricular assistance&nbsp;were retrospectively and consecutively recruited. Combined transplants, retransplantations and pediatric transplants were excluded. The sample was divided in 10 groups according to the type of shot/medium term assistance devices. RESULTS: A total of 53 patients were recruited, 79% men, average age 49 ¡À 13 years. 26 patients (51%) had mechanical ventilation at the time of the HT. Primary graft failure occurred in 20 patients (38.5%), whilst it was more frequent in patients assisted with ECMO (8 patients in group 1 (45%) and 7 in group 2 (54%), p 0.5). 14 dea<span style=\"line-height:1.5;font-family:Verdana;\">th</span><span style=\"line-height:1.5;font-family:Verdana;\">s (27%) were registered, whereas a higher mortality was observed in the group assisted with ECMO (6 patients in group 1 (34%) and 4 in group 2 (31%), p 0.6). Mortality was 17% in the group of non-urgent Levitronix. CONCLUSIONS: Despite not showing statistical significance due to the low number of patients in some subgroups, hospital&nbsp;mortality was high in HT patients with circulatory assistance. A trend towards a higher incidence of primary graft failure and mortality in patients assisted with ECMO was observed. The direct implantation of a centrifugal pump as a bridge to urgent transplantation could identify a subgroup with a better prognosis.</span>
%K Urgent Heart Transplantation
%K Short-Medium Term Circulatory/Ventricular Assistance
%K Primary Graft Failure
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=94403