Tier | Indication | Admitted to transplant center hospital |
1 | VA-ECMO | ✓ |
Non-dischargeable, surgically implanted, non-endovascular biventricular support device | ✓ | |
MCSD with life threatening ventricular arrhythmia | ✓ | |
2 | Non-dischargeable, surgically implanted, non-endovascular LVAD | ✓ |
TAH, BiVAD, RVAD, or VAD for single ventricle patients | ||
MCSD with malfunction | ✓ | |
Percutaneous endovascular MCSD | ✓ | |
IABP | ✓ | |
VT or VF | ✓ | |
3 | Dischargeable LVAD for discretionary 30 days | |
Multiple inotropes or a single high-dose inotrope and hemodynamic monitoring | ✓ | |
MCSD with hemolysis | ||
MCSD with pump thrombosis | ||
MCSD with right heart failure | ||
MCSD with device infection | ||
MCSD with mucosal bleeding | ✓ | |
MCSD with AI | ||
VA-ECMO after 7 days | ✓ | |
Non-dischargeable, surgically implanted, non-endovascular LVAD after 14 days | ✓ | |
Percutaneous endovascular circulatory support device after 14 days | ✓ | |
IABP after 14 days | ✓ | |
4 | Dischargeable LVAD without discretionary 30 days | |
Inotropes without hemodynamic monitoring | ||
Congenital heart disease | ||
Ischemic heart disease with intractable angina | ||
Amyloidosis, or hypertrophic or restrictive cardiomyopathy | ||
Heart re-transplant | ||
5 | On the waitlist for at least one other organ at the same hospital | |
6 | Adult candidate suitable for transplant | |
7 | Patient is inactive |
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