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Competing outcomes of transplant, death, and survival show the chance for transplantation was highest in the first 10 days post-listing after which it markedly decreased. However, the mortality risk continued to stay high for 28 days post-listing. Therefore, VAD implantation should be considered in patients waiting for heart transplant >10 days on VA-ECMO. VAD: ventricular assist devices, VA-ECMO: veno-arterial extracorporeal membranous oxygenation.
