Posts Tagged ‘center volume’

October 30, 2012

Can Long-Term Ventricular Assist Devices Be Safely Implanted in Low-Volume Non-Heart Transplant Centres?


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The development of MCS programs capable of implanting long-term VADs at non-transplant centres may provide more Canadians suffering from end-stage heart failure and critical cardiogenic shock with access to cardiac transplantation as a life-saving therapy. The ongoing debate regarding center volume and outcomes is addressed.

No Comments Posted in Cardiac Transplantation
September 19, 2012

Should Orthotopic Heart Transplantation Using Marginal Donors Be Limited to Higher Volume Centers?


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Marginal donor organs are being offered in some centers in the US to high-risk candidates who do not meet standard listing criteria. This combination theoretically increases surgical risk and potentially impacts post transplant outcomes. This article explores the impact of center volume on the use of marginal donors (using a validated donor risk score >=7).

No Comments Posted in Cardiac Transplantation
February 23, 2012

Institutional volume and the effect of recipient risk on short-term mortality after orthotopic heart transplant


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This contemporary study provides further insight into the past observations of an association between center volume and surgical outcomes. The Index for Mortality Prediction After Cardiac Transplantation (IMPACT), from the data in the United Network for Organ Sharing (UNOS) registry was used to risk stratify patients. Mean annual institutional volume ranged from 0.2 OHT procedures/y […]

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