Retrospective Cohort Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplant. Sep 18, 2025; 15(3): 102078
Published online Sep 18, 2025. doi: 10.5500/wjt.v15.i3.102078
Comparison of a direct vs consultative advanced heart failure role in the outcomes of extracorporeal membrane oxygenation patients
James Zhang, Todd Nagamine, Kimberly Vu, Mohammed Ali, Nath Limpruttidham, Maan Gozun, Jesus Pino Moreno, Dipanjan Banerjee
James Zhang, Department of Cardiovascular Medicine, University of Washington, Seattle, WA 98195, United States
Todd Nagamine, Kimberly Vu, Mohammed Ali, Nath Limpruttidham, Maan Gozun, Jesus Pino Moreno, Dipanjan Banerjee, Department of Medicine, The John A Burns School of Medicine, University of Hawai'i, Honolulu, HI 96813, United States
Author contributions: Banerjee D and Zhang J formulated the research question; Vu K, Gozun M, Nagamine T, and Ali M performed data collection and initial manuscript drafting; Limpruttidham N and Banerjee D provided statistical analysis; Moreno JP helped revise the manuscript; Banerjee D was responsible for the final draft of the manuscript.
Institutional review board statement: This study was approved by the Queen's Medical Center Institutional Review Board.
Informed consent statement: Informed consent was waived for this study by the Queen's IRB given its retrospective nature.
Conflict-of-interest statement: There are no conflicts of interest to report for any of the authors involved in this manuscript.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Data sharing statement: sharing statement: We are happy to share deidentified data for those who request it.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dipanjan Banerjee, MD, MS, Professor, Department of Medicine, The John A Burns School of Medicine, University of Hawai'i, 651 Ilalo St, Honolulu, HI 96813, United States. dipanjan@hawaii.edu
Received: October 8, 2024
Revised: February 26, 2025
Accepted: March 18, 2025
Published online: September 18, 2025
Processing time: 192 Days and 7.9 Hours
Core Tip

Core Tip: Patients receiving extracorporeal membrane oxygenation (ECMO) support are critically ill, and suffer from high morbidity and mortality. Advanced heart failure and transplant cardiology physicians have been shown to improve outcomes in patients suffering from severe cardiovascular disease. We found that at our center, advanced heart failure and transplant cardiology physicians improved post hospital discharge survival in patients receiving ECMO support when serving as the primary ECMO attending instead of in a consultative role. This was largely due to improved outcomes in patients receiving veno-arterial ECMO support.