TABLE 4.
Patients bridged with IABP before and after heart allocation change
Before allocation change | After allocation change | |
---|---|---|
Patients bridged with IABP | 1 | 19 |
Transplanted as status 2 (n, %) | 1 (100) | 15 (79) |
Transplanted as different statusa | 0 | 2 (11) |
Passed away before transplant | 0 | 2 (11) |
Mean days with IABP | 6 | 13 |
Axillary IABP placement (n, %) | 0 | 13 (68) |
Complicationsb (n, %) | 0 | 5 (26) |
Balloon rupture | 0 | 1 |
Bacteremia | 0 | 1 |
Kinking of catheter shaft | 0 | 1 |
Bleeding | 0 | 1 |
Limb ischemia | 0 | 1 |
aTwo patients initially started out with IABP bridging. One required escalation with VA-ECMO and was up-listed and eventually transplanted as status 1. The other had IABP removal due to bleeding complication and was transplanted as status 3.
bBalloon rupture and bacteremia required axillary IABP exchange, kinking of the catheter shaft required replacement from axillary to femoral positioning, bleeding resulted in IABP removal, limb ischemia necessitated thrombectomy and IABP removal.
IABP, intra-aortic balloon pump; VA-ECMO, venoarterial extracorporeal membrane oxygenation.