Primary Graft Dysfunction Clinical Trial
Official title:
Heart Transplant and Primary Transplant Dysfunction: a Retrospective Analysis of the Strasbourg Experience
Among the complications of heart transplant, primary dysfunction of the graft (PDG) is the
most feared with a net impact on early morbidity and mortality. The all-cause mortality rate
at the international level is 10% at 30 days and 34% at one year. Mortality at 30 days is
secondary in 66% of cases with DPG or multi-organ failure.
The treatment of choice for the more severe PDG remains ECMO-type circulatory mechanical
assistance or ventricular assistance. According to several studies, this could reduce early
mortality. Early placement and short-term (<30 days) of support appear to improve survival in
the first year after transplantation.
The haemodynamic parameters revealing this DPG are not clearly described in the literature.
hypothesis of this research is that:
- DPG risk factors in strasbourg's hospital center are comparable to other European and
international centers.
- Simple hemodynamic parameters can be used to detect PDG earlier in order to set up
assistance more quickly.
n/a
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