prikaz prve stranice dokumenta Veno-Arterial Extracorporeal Membrane Oxygenation as a Bridge to Heart Transplant—Change of Paradigm
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Scientific paper - Review paper
Veno-Arterial Extracorporeal Membrane Oxygenation as a Bridge to Heart Transplant—Change of Paradigm
Journal of Clinical Medicine, 11 (2022), 23; 7101. https://doi.org/10.3390/jcm11237101
Šipuš, Dubravka; Krželj, Kristina; Đurić, Željko; Gašparović, Hrvoje; Miličić, Davor; Hanževački, Jadranka Šeparović; Lovrić, Daniel

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

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Šipuš, D., Krželj, K., Đurić, Ž., Gašparović, H., Miličić, D., Hanževački, J. Š. & Lovrić, D. (2022). Veno-Arterial Extracorporeal Membrane Oxygenation as a Bridge to Heart Transplant—Change of Paradigm. Journal of Clinical Medicine, 11. (23). doi: 10.3390/jcm11237101

Šipuš, Dubravka, et al. "Veno-Arterial Extracorporeal Membrane Oxygenation as a Bridge to Heart Transplant—Change of Paradigm." Journal of Clinical Medicine, vol. 11, no. 23, 2022. https://doi.org/10.3390/jcm11237101

Šipuš, Dubravka, Kristina Krželj, Željko Đurić, Hrvoje Gašparović, Davor Miličić, Jadranka Šeparović Hanževački and Daniel Lovrić. "Veno-Arterial Extracorporeal Membrane Oxygenation as a Bridge to Heart Transplant—Change of Paradigm." Journal of Clinical Medicine 11, no. 23 (2022). https://doi.org/10.3390/jcm11237101

Šipuš, D., et al. (2022) 'Veno-Arterial Extracorporeal Membrane Oxygenation as a Bridge to Heart Transplant—Change of Paradigm', Journal of Clinical Medicine, 11(23). doi: 10.3390/jcm11237101

Šipuš D, Krželj K, Đurić Ž, Gašparović H, Miličić D, Hanževački JŠ, and sur.. Veno-Arterial Extracorporeal Membrane Oxygenation as a Bridge to Heart Transplant—Change of Paradigm. Journal of Clinical Medicine [Internet]. 2022 November 30 [cited 2024 November 29];11(23). doi: 10.3390/jcm11237101

D. Šipuš, et al., "Veno-Arterial Extracorporeal Membrane Oxygenation as a Bridge to Heart Transplant—Change of Paradigm", Journal of Clinical Medicine, vol. 11, no. 23, November 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:131775. [Accessed: 29 November 2024]

Metadata
Title (english)Veno-Arterial Extracorporeal Membrane Oxygenation as a Bridge to Heart Transplant—Change of Paradigm
AuthorDubravka Šipuš
MBZ: 155684
AuthorKristina Krželj
AuthorŽeljko Đurić
AuthorHrvoje Gašparović
AuthorDavor Miličić
AuthorJadranka Šeparović Hanževački
AuthorDaniel Lovrić
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Internal Medicine)
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Surgery)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract (english)
Despite advances in medical therapy and mechanical circulatory support (MCS), heart transplant (HT) remains the gold standard therapy for end-stage heart failure. Patients in cardiogenic shock require prompt intervention to reverse hypoperfusion and end-organ damage. When medical therapy becomes insufficient, MCS should be considered. Historically, it has been reported that critically ill patients bridged with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) directly to HT have worse outcomes. However, when the heart allocation system gives the highest priority to patients on VA-ECMO support, those patients have a higher incidence of HT and a lower incidence of death or removal from the transplant list. Moreover, patients with a short waiting time on VA-ECMO have a similar hazard of mortality to non-ECMO patients. According to the reported data, bridging with VA-ECMO directly to HT may be a solution in the selection of critically ill patients when the anticipated waiting list time is short. However, when a prolonged waiting time is expected, more durable MCS should be considered. Regardless of the favorable results of the direct bridging to HT with ECMO in selected patients, the superiority of this strategy compared to the bridge-to-bridge strategy (ECMO to durable MCS) has not been established and further studies are mandatory in order to clarify this issue.
Keywords (english)
Languageenglish
Publication typeScientific paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleJournal of Clinical Medicine
Numberingvol. 11, no. 23, 7101
e-ISSN2077-0383
DOIhttps://doi.org/10.3390/jcm11237101
URN:NBNurn:nbn:hr:105:131775
Publication2022-11-30
Document URLhttps://www.mdpi.com/2077-0383/11/23/7101
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2023-05-17 12:04:53