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Venoarterial Extracorporeal Membrane Oxygenation with or without Simultaneous Intra-Aortic Balloon Pump Support as a Direct Bridge to Heart Transplantation: Results from a Nationwide Spanish Registry
dc.contributor.author | Barge-Caballero, Gonzalo | |
dc.contributor.author | Castel-Lavilla, María A. | |
dc.contributor.author | Almenar-Bonet, Luis | |
dc.contributor.author | Garrido-Bravo, Iris P. | |
dc.contributor.author | Delgado-Jiménez, Juan F. | |
dc.contributor.author | Rangel-Sousa, Diego | |
dc.contributor.author | González-Costello, José | |
dc.contributor.author | Segovia-Cubero, Javier | |
dc.contributor.author | Farrero-Torres, Marta | |
dc.contributor.author | Lambert Rodríguez, José Luis | |
dc.contributor.author | Crespo-Leiro, María Generosa | |
dc.contributor.author | Hervás-Sotomayor, Daniela | |
dc.contributor.author | Portolés-Ocampo, Ana | |
dc.contributor.author | Martínez-Sellés, Manuel | |
dc.contributor.author | De la Fuente-Galán, Luis | |
dc.contributor.author | Rábago, Gregorio | |
dc.contributor.author | González-Vílchez, Francisco | |
dc.contributor.author | Mirabet, Sonia | |
dc.contributor.author | Muñiz, Javier | |
dc.contributor.author | Barge-Caballero, Eduardo | |
dc.date.accessioned | 2020-10-28T09:52:15Z | |
dc.date.available | 2020-10-28T09:52:15Z | |
dc.date.issued | 2019-06-30 | |
dc.identifier.citation | Barge-Caballero G, Castel-Lavilla MA, Almenar-Bonet L, et al. Venoarterial extracorporeal membrane oxygenation with or without simultaneous intra-aortic balloon pump support as a direct bridge to heart transplantation: results from a nationwide Spanish registry. Interact Cardiovasc Thorac Surg. 2019; 29(5):670-677 | es_ES |
dc.identifier.issn | 1569-9285 | |
dc.identifier.uri | http://hdl.handle.net/2183/26566 | |
dc.description.abstract | [Abstract] OBJECTIVES To investigate the potential clinical benefit of an intra-aortic balloon pump (IABP) in patients supported with venoarterial extracorporeal membrane oxygenation (VA-ECMO) as a bridge to heart transplantation (HT). METHODS We studied 169 patients who were listed for urgent HT under VA-ECMO support at 16 Spanish institutions from 2010 to 2015. The clinical outcomes of patients under simultaneous IABP support (n = 73) were compared to a control group of patients without IABP support (n = 96). RESULTS There were no statistically significant differences between the IABP and control groups with regard to the cumulative rates of transplantation (71.2% vs 81.2%, P = 0.17), death during VA-ECMO support (20.6% vs 14.6%, P = 0.31), transition to a different mechanical circulatory support device (5.5% vs 5.2%, P = 0.94) or weaning from VA-ECMO support due to recovery (2.7% vs 0%, P = 0.10). There was a higher incidence of bleeding events in the IABP group (45.2% vs 25%, P = 0.006; adjusted odds ratio 2.18, 95% confidence interval 1.02–4.67). In-hospital postoperative mortality after HT was 34.6% in the IABP group and 32.5% in the control group (P = 0.80). One-year survival after listing for urgent HT was 53.3% in the IABP group and 52.2% in the control group (log rank P = 0.75). Multivariate adjustment for potential confounders did not change this result (adjusted hazard ratio 0.94, 95% confidence interval 0.56–1.58). CONCLUSIONS In our study, simultaneous IABP therapy in transplant candidates under VA-ECMO support did not significantly reduce morbidity or mortality. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Oxford Academic | es_ES |
dc.relation.uri | https://doi.org/10.1093/icvts/ivz155 | es_ES |
dc.rights | This is a pre-copyedited, author-produced version of an article accepted for publication in Interactive CardioVascular and Thoracic Surgery following peer review. | es_ES |
dc.subject | Heart transplantation | es_ES |
dc.subject | Extracorporeal membrane oxygenation | es_ES |
dc.subject | Intra-aortic balloon pump | es_ES |
dc.title | Venoarterial Extracorporeal Membrane Oxygenation with or without Simultaneous Intra-Aortic Balloon Pump Support as a Direct Bridge to Heart Transplantation: Results from a Nationwide Spanish Registry | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.rights.access | info:eu-repo/semantics/openAccess | es_ES |
UDC.journalTitle | Interactive CardioVascular and Thoracic Surgery | es_ES |
UDC.volume | 29 | es_ES |
UDC.issue | 5 | es_ES |
UDC.startPage | 670 | es_ES |
UDC.endPage | 677 | es_ES |
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