Research Article

Extracorporeal Rescue for Early and Late Graft Failure after Cardiac Transplantation: Short Result and Long-Term Followup

Table 1

The basic data of the study and the “early” and the “late” graft failures after transplantation (graft failure after heart transplantation).

Study groupEarlyImmediateLate

Episode, 48353010
Age, yr (median)37.7 ± 18.8 (43.3)36.1 ± 18.6 (42.8)34.7 ± 18 (35.4)37.2 ± 20.3 (43.4)
Etiology
 DCMP, (%)21 (43.8)15 (42.9)13 (43.3)5 (50)
 ICMP, (%)17 (35.4)14 (40)11 (36.7)2 (20)
 Other, (%)10 (20.8)6 (17.1)6 (20)3 (30)
Previous heart surgery15 (31.3)14 (40)10 (33.3)1 (10)
Pre-Tx ECMO12 (25%)12 (34.3)11 (26.7) 0 (0)*
CPR before ECMO20 (41.7)15 (42.9)12 (40)4 (40)
ECMO during CPR10 (20.8)8 (22.9)7 (23.3)1 (10)
IABP use15 (31.3)13 (37.1)12 (40)2 (20)
Ischemic time, min (median)178 ± 70 (169)184 ± 7 (174)181 ± 73 (171)189 ± 71
(214)
 >120 min, (%)35 (72.9)25 (71.4)21 (70)7 (70)
 >180 min, (%)23 (47.9)17 (38.6)14 (46.7)6 (60)
 >240 min, (%)11 (22.9)8 (22.8)7 (23.3)3 (30)
ECMO duration, hr (median) (103) (103) (107) (143)
Success rate23 (47.9)18 (51.4)15 (50)5 (50)

Significant difference for late group with other groups. CPR: cardiopulmonary resuscitation; DCMP: dilated cardiomyopathy; ECMO: extracorporeal membrane oxygenation; ICMP: ischemic cardiomyopathy; IABP: intraaortic balloon pump; Tx: transplantation; yr: year.