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August 1, 2026Interdisciplinary CardioVascular and Thoracic SurgeryOpen Access

Impact of Donation after circulatory death on waitlist duration and early outcomes in heart transplantation for patients with durable mechanical circulatory support

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Authors

TWTakeshi WadaTohoku University JHJoyce HoThomas Jefferson University ABAndrew BelecThomas Jefferson University

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Implication

Randomized trial evaluates waitlist duration and outcomes for heart transplantation using circulatory death donors, suggesting benefits for mechanical support recipients.

Key Points

To assess the impact of donation after circulatory death on waitlist duration and early outcomes in heart transplantation for patients supported by durable mechanical circulatory support.
Utilized the United Network for Organ Sharing database to identify adult heart transplant recipients supported by mechanical circulatory support from 2019 to 2023.
Compared outcomes between recipients of donors after brain death and donors after circulatory death.
Analyzed data on waitlist duration, ischemic times, and survival rates.
Among 3681 patients supported with durable mechanical circulatory support, 307 received hearts from donors after circulatory death.
Recipients from circulatory death donors had higher body mass index and longer ischemic times (5.5 hours vs 3.5 hours, P < 0.05).
Survival rates were similar between groups at 6 months (90.9% vs 93.2%) and 1 year (89.0% vs 90.2%), P = 0.946.

Cite This Study

Wada et al. (2026) studied this question.

synapsesocial.com/papers/6a6d983ee258b358b3c6b4d2 https://doi.org/10.1093/icvts/ivag214

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Implication

Randomized trial evaluates waitlist duration and outcomes for heart transplantation using circulatory death donors, suggesting benefits for mechanical support recipients.

Impact of Donation after circulatory death on waitlist duration and early outcomes in heart transplantation for patients with durable mechanical circulatory support

Discussion

Member takes

Implication

Key Points

Cite This Study

Impact of Donation after circulatory death on waitlist duration and early outcomes in heart transplantation for patients with durable mechanical circulatory support

Discussion

Member takes

Implication

Key Points

Cite This Study

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