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@NBCNewYork coverage of our 1st #HeartTransplant, a historic milestone for advanced #heartfailure care on #LongIsland !
nbcnewyork.com/on-air/as-seen…
nbcnewyork.com/on-air/as-seen…
Brian Lima
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Cardiac Surgeon at @VUMC_heart | Author of Heart to Beat | Ex @ClevelandClinic + @DukeSurgRes + @DukeSurgery + @DukeMedSchool + @Cornell
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Do DCD hearts from older donors need to be reanimated before transplantation?
Our early @VUMChealth experience suggests they may not.
Published today in @CircAHA : 20 DCD heart transplants from donors ≥40 years using Rapid Ultraoxygenated Recovery (REUP) without preimplant reanimation.
✅ 0/20 severe PGD ✅ 0% discard rate ✅ 281 min median ischemic time ✅ 95% 90-day survival
These early, single-center data challenge the assumption that donor age ≥40 requires reanimation before transplant.
🔗 doi.org/10.1161/CIRCUL…
#HeartTransplantation #DCD #OrganDonation #REUP
Our early @VUMChealth experience suggests they may not.
Published today in @CircAHA : 20 DCD heart transplants from donors ≥40 years using Rapid Ultraoxygenated Recovery (REUP) without preimplant reanimation.
✅ 0/20 severe PGD ✅ 0% discard rate ✅ 281 min median ischemic time ✅ 95% 90-day survival
These early, single-center data challenge the assumption that donor age ≥40 requires reanimation before transplant.
🔗 doi.org/10.1161/CIRCUL…
#HeartTransplantation #DCD #OrganDonation #REUP
Introducing the ADEPT Perfusion Registry.
Assessment of Oxygen Delivery and Exchange Across Perfusion Trajectories.
We’re launching this multicenter, outcomes-linked initiative focused on defining physiology-referenced standards for perfusion adequacy across cardiac surgery and ECMO.
Perfusion is dynamic.
#CardiacSurgery #Perfusion #ECMO #Hemodynamics
Assessment of Oxygen Delivery and Exchange Across Perfusion Trajectories.
We’re launching this multicenter, outcomes-linked initiative focused on defining physiology-referenced standards for perfusion adequacy across cardiac surgery and ECMO.
Perfusion is dynamic.
#CardiacSurgery #Perfusion #ECMO #Hemodynamics
It may be time to redefine perfusion adequacy.
Our JTCVS study shows that longitudinal oxygen delivery & extraction trajectories—not delivery thresholds alone—are independently associated with morbidity & AKI in CABG.
Perfusion is dynamic.
#CardiacSurgery #Perfusion #Hemodynamics #STS #ECMO
jtcvs.org/article/S0022-…
Our JTCVS study shows that longitudinal oxygen delivery & extraction trajectories—not delivery thresholds alone—are independently associated with morbidity & AKI in CABG.
Perfusion is dynamic.
#CardiacSurgery #Perfusion #Hemodynamics #STS #ECMO
jtcvs.org/article/S0022-…
www.jtcvs.org Oxygen extraction trajectories during cardiopulmonary bypass impact postoperative outcomes in... Goal-directed perfusion strategies during cardiopulmonary bypass typically target indexed oxygen delivery thresholds to reduce acute kidney injury and other complications. This delivery-only paradigm... Pleased to share our @nejm publication of a novel, ground-breaking REUP (Rapid recovery with Extended Ultraoxygenated preservation) technique for DCD donor heart procurement co-authored by our @VUMChealth #HeartTransplant team. nejm.org/doi/full/10.10…
www.nejm.org Rapid Recovery of Donor Hearts for Transplantation after Circulatory Death | NEJM We report a method for the recovery of hearts for transplantation from deceased donors after circulatory death that obviates the need for thoracoabdominal normothermic regional perfusion or ex situ...