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In the era of outpatient ventricular assist devices, is it time to reconsider the practice of bridging older children to transplant on outpatient inotropes?
Guzman-Gomez A, Greenberg JW, Dani A, Villa C, Lorts A, Boucek K, Zafar F, Morales DLS. Guzman-Gomez A, et al. Among authors: lorts a. J Thorac Cardiovasc Surg. 2023 Jun 14:S0022-5223(23)00512-3. doi: 10.1016/j.jtcvs.2023.06.004. Online ahead of print. J Thorac Cardiovasc Surg. 2023. PMID: 37321290
One-year conditional survival was superior for VAD vs inotrope (2-year and 6-year survival, 96% and 91%, respectively vs 97% and 79%, respectively) (P = .030) and 5-year conditional survival for VAD patients was superior to inotrope (7-year and 10-year survival, 100% and 100%, re …
One-year conditional survival was superior for VAD vs inotrope (2-year and 6-year survival, 96% and 91%, respectively vs 97% and 79%, respec …
Comparing donor and recipient total cardiac volume predicts risk of short-term adverse outcomes following heart transplantation.
Szugye NA, Moore RA, Dani A, Ollberding NJ, Villa C, Lorts A, Plasencia JD, Taylor MD, Morales DLS, Zafar F. Szugye NA, et al. Among authors: lorts a. J Heart Lung Transplant. 2022 Nov;41(11):1581-1589. doi: 10.1016/j.healun.2022.06.006. Epub 2022 Jun 17. J Heart Lung Transplant. 2022. PMID: 36150994
The clinical adoption of donor: recipient volume ratio (DRVR) to prevent short-term adverse outcomes of oversizing is unknown. The purpose of this single-center study is to determine the relationship of DRWR and DRVR to the risk of post-operative complications from allogra …
The clinical adoption of donor: recipient volume ratio (DRVR) to prevent short-term adverse outcomes of oversizing is unknown. The pu …
Global best practices consensus: Long-term management of patients with hybrid centrifugal flow left ventricular assist device support.
Hayward C, Adachi I, Baudart S, Davis E, Feller ED, Kinugawa K, Klein L, Li S, Lorts A, Mahr C, Mathew J, Morshuis M, Müller M, Ono M, Pagani FD, Pappalardo F, Rich J, Robson D, Rosenthal DN, Saeed D, Salerno C, Sauer AJ, Schlöglhofer T, Tops L, VanderPluym C. Hayward C, et al. Among authors: lorts a. J Thorac Cardiovasc Surg. 2022 Oct;164(4):1120-1137.e2. doi: 10.1016/j.jtcvs.2022.03.035. Epub 2022 Apr 21. J Thorac Cardiovasc Surg. 2022. PMID: 35624053 Free article.
Nutritional outcomes of patients with pediatric and congenital heart disease requiring ventricular assist devices.
Horsley M, Pathak S, Morales D, Lorts A, Mouzaki M. Horsley M, et al. Among authors: lorts a. JPEN J Parenter Enteral Nutr. 2022 Sep;46(7):1553-1558. doi: 10.1002/jpen.2351. Epub 2022 Mar 20. JPEN J Parenter Enteral Nutr. 2022. PMID: 35184305
Future studies should investigate the impact of VADs on body composition and longer-term outcomes....
Future studies should investigate the impact of VADs on body composition and longer-term outcomes....
Heart Transplantation in Muscular Dystrophy Patients: Is it a Viable Option?
Wells D, Rizwan R, Jefferies JL, Bryant R 3rd, Ryan TD, Lorts A, Chin C, Zafar F, Morales DL. Wells D, et al. Among authors: lorts a. Circ Heart Fail. 2020 Apr;13(4):e005447. doi: 10.1161/CIRCHEARTFAILURE.118.005447. Epub 2020 Mar 27. Circ Heart Fail. 2020. PMID: 32216460
CONCLUSIONS: Patients with MD undergoing HTx had similar long-term posttransplant survival compared with matched cardiomyopathy-related HTx recipients. ...
CONCLUSIONS: Patients with MD undergoing HTx had similar long-term posttransplant survival compared with matched cardiomyopathy-relat …
Cardiac Networks United: an integrated paediatric and congenital cardiovascular research and improvement network.
Gaies M, Anderson J, Kipps A, Lorts A, Madsen N, Marino B, Costello JM, Brown D, Jacobs JP, Kasnic D, Lihn S, Lannon C, Margolis P, Pearson GD, Kaltman J, Charpie JR, Redington AN, Pasquali SK; Cardiac Networks United Executive Committee and Advisory Board. Gaies M, et al. Among authors: lorts a. Cardiol Young. 2019 Feb;29(2):111-118. doi: 10.1017/S1047951118001683. Epub 2018 Dec 20. Cardiol Young. 2019. PMID: 30567622
Optimising short- and long-term outcomes for children and patients with CHD depends on continued scientific discovery and translation to clinical improvements in a coordinated effort by multiple stakeholders. ...
Optimising short- and long-term outcomes for children and patients with CHD depends on continued scientific discovery and translation …
Outcomes of children supported with devices labeled as "temporary" or short term: A report from the Pediatric Interagency Registry for Mechanical Circulatory Support.
Lorts A, Eghtesady P, Mehegan M, Adachi I, Villa C, Davies R, Gossett JG, Kanter K, Alejos J, Koehl D, Cantor RS, Morales DLS. Lorts A, et al. J Heart Lung Transplant. 2018 Jan;37(1):54-60. doi: 10.1016/j.healun.2017.10.023. Epub 2017 Oct 31. J Heart Lung Transplant. 2018. PMID: 29174220
BACKGROUND: Historically, the "temporary" or short-term ventricular assist device (VAD) was used only as a quick bridge to recovery for children with an acute process. ...CONCLUSION: Devices historically classified as "temporary" pumps are being used not only as a short- …
BACKGROUND: Historically, the "temporary" or short-term ventricular assist device (VAD) was used only as a quick bridge to recovery f …
Transplant Survival After Berlin Heart EXCOR Support.
Bryant R 3rd, Zafar F, Castleberry C, Jefferies JL, Lorts A, Chin C, Morales DL. Bryant R 3rd, et al. Among authors: lorts a. ASAIO J. 2017 Jan/Feb;63(1):80-85. doi: 10.1097/MAT.0000000000000439. ASAIO J. 2017. PMID: 27660899
Kaplan-Meier post-transplantation survival did not differ between the two cohorts (30 day, 1 year, and 5 year post-transplant survival was 94%, 90%, and 72% [EXCOR cohort] vs. 98%, 91%, and 77% [no-MCS cohort]; p = 0.160). Short- and mid-term post-transplant survival using …
Kaplan-Meier post-transplantation survival did not differ between the two cohorts (30 day, 1 year, and 5 year post-transplant survival was 9 …
Pediatric mechanical circulatory support: available devices and outcomes as bridge-to-transplant therapy.
Lorts A, Blume ED. Lorts A, et al. Curr Opin Organ Transplant. 2015 Oct;20(5):557-61. doi: 10.1097/MOT.0000000000000226. Curr Opin Organ Transplant. 2015. PMID: 26262463 Review.
In addition, device selection and surgical planning are evolving in children. The use of temporary devices for long-term use is an example of an innovative application of current technology. ...
In addition, device selection and surgical planning are evolving in children. The use of temporary devices for long-term use is an ex …
Mechanical assist devices in neonates and infants.
Lorts A, Zafar F, Adachi I, Morales DL. Lorts A, et al. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2014;17(1):91-5. doi: 10.1053/j.pcsu.2014.02.001. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2014. PMID: 24725723
Although there are very few device options in pediatrics, there are short-term support options that include the RotaFlow and PediMag. The longer-term support option for small children is limited to only the Berlin heart EXCOR device, which had been approved by the F …
Although there are very few device options in pediatrics, there are short-term support options that include the RotaFlow and PediMag. …
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