Mechanical circulatory support devices in adults with congenital heart disease.

IF 1.8 4区医学 Q3 TRANSPLANTATION Current Opinion in Organ Transplantation Pub Date : 2024-10-01 Epub Date: 2024-08-05 DOI:10.1097/MOT.0000000000001165

Deen L Garba, Susan Joseph, Ari Cedars

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Abstract

Purpose of review: Mechanical circulatory support is used frequently as a method of stabilizing patients with end stage heart failure who are unable to safely await allograft availability. While this technology has been fundamentally important in supporting patients with normal cardiac anatomy, it is still used infrequently in adult patients with congenital heart disease and end-stage heart failure. Here, we review the data on mechanical circulatory support technology in this small but growing population of patients with chronic heart disease prone to the development of circulatory failure.

Recent findings: Mechanical circulatory support (MCS) has been increasingly employed in adults with congenital heart disease (ACHD) as a bridge to transplant. The new United Network for Organ Sharing listing system favoring temporary MCS use with a higher listing status offers another tool to stabilize ACHD patients and potentially shorten wait times. Both temporary and Durable MCS could help improve transplant candidacy and posttransplant outcomes in select groups of ACHD patients.

Summary: Durable and temporary MCS have the potential to significantly improve access to transplant and overall transplant outcomes in ACHD patients.

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先天性心脏病成人的机械循环支持装置。

审查目的：机械循环支持是稳定无法安全等待异体移植的终末期心衰患者的常用方法。虽然这项技术在支持心脏解剖正常的患者方面具有根本性的重要意义，但在患有先天性心脏病和终末期心力衰竭的成年患者中仍很少使用。在此，我们回顾了机械循环支持技术在这一人数较少但不断增加的易发生循环衰竭的慢性心脏病患者群体中的应用数据：机械循环支持（MCS）已越来越多地应用于先天性心脏病（ACHD）成人患者，作为通往移植的桥梁。新的器官共享联合网络列名系统倾向于使用临时性机械循环支持，并给予较高的列名地位，这为稳定先天性心脏病患者提供了另一种工具，并有可能缩短等待时间。摘要：持久性和临时性MCS有可能显著改善ACHD患者的移植机会和整体移植效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Organ Transplantation 医学-移植

CiteScore

4.10

自引率

4.50%

发文量

124

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Organ Transplantation is an indispensable resource featuring key, up-to-date and important advances in the field from around the world. Led by renowned guest editors for each section, every bimonthly issue of Current Opinion in Organ Transplantation delivers a fresh insight into topics such as stem cell transplantation, immunosuppression, tolerance induction and organ preservation and procurement. With 18 sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, surgeons and other healthcare professionals alike.

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