ANNUAL REPORT ON VENTRICULAR ASSIST ... - .NET Framework

ANNUAL REPORT ON VENTRICULAR ASSIST DEVICES

REPORT FOR 2015/2016 (1 APRIL 2006 ? 31 MARCH 2016)

PUBLISHED FEBRUARY 2017

PRODUCED IN COLLABORATION WITH NHS ENGLAND

DISCLAIMER: DUE TO A LACK OF COMPLETE DATA REPORTING TO THE VAD DATABASE, THIS REPORT REFLECTS AN INCOMPLETE PICTURE OF THE CURRENT BRIDGE TO TRANSPLANT AND POST-TRANSPLANT VAD SERVICE. NHSBT ARE WORKING WITH NHS ENGLAND AND HEART TRANSPLANT CENTRES TO IMPROVE REPORTING AND THE INFORMATION PRESENTED IN THIS REPORT.

CONTENTS

Contents

EXECUTIVE SUMMARY ...................................................................................................... 3 INTRODUCTION .................................................................................................................. 6 ADULT LONG TERM DEVICES USED FOR BRIDGING ...................................................13

Activity ..............................................................................................................................13 Patient outcomes .............................................................................................................20

A. Patient survival..................................................................................................28 B. Survival on a device..........................................................................................32 ADULT BRIDGED TO LONG-TERM DEVICES..................................................................35 Patient outcomes ............................................................................................................35 ADULT SHORT TERM DEVICES USED FOR BRIDGING .................................................43 Activity ..............................................................................................................................43 Patient outcomes .............................................................................................................49 ADULT SHORT TERM DEVICES USED POST-HEART TRANSPLANT ...........................54 Activity ..............................................................................................................................54 Patient outcomes .............................................................................................................59 PAEDIATRIC LONG TERM DEVICES USED FOR BRIDGING .........................................63 Activity ..............................................................................................................................63 Patient outcomes .............................................................................................................68 A. Patient survival..................................................................................................71 B. Survival on a device..........................................................................................71 APPENDIX ..........................................................................................................................72 A1: Methods .....................................................................................................................73 A2: Glossary of terms.......................................................................................................74

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EXECUTIVE SUMMARY

2

EXECUTIVE SUMMARY

The UK ventricular assist device (VAD) service was provisionally designated and commissioned by NHS England from April 2001 as a method to bridge patients with severe heart failure to heart transplantation. Data collection on all patients implanted with VADs began in April 2002 and, since January 2007, NHS Blood and Transplant (NHSBT) have been responsible for data collection and reporting. This report contains key figures about VAD and Extra Corporeal Membrane Oxygenation (ECMO) implantation between 1 April 2006 and 31 March 2016, for all six adult cardiothoracic transplant centres performing VAD and ECMO implants in the UK for either

bridging to heart transplant, primary graft dysfunction (PGD), or rejection post heart transplantation. The report presents information on the number of VADs and ECMOs implanted and survival analysis after implant, both on a national and centre-specific basis. There are two UK paediatric implant centres; Great Ormond Street Hospital (GOSH) and Newcastle (also an adult implant centre). However, GOSH and the Newcastle paediatric department have only recently started entering data in 2013. Results therefore only consider paediatrics (age ................
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