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World J Transplant. Dec 18, 2025; 15(4): 108736
Published online Dec 18, 2025. doi: 10.5500/wjt.v15.i4.108736
Role of advanced heart failure and transplant teams in extracorporeal membrane oxygenation management
Han Cheng, Lei Xia, Hao-Zhe Yang, Zhan-Xu Wei, Yan-Tong Zhang, Jing Yang
Han Cheng, Lei Xia, Hao-Zhe Yang, Zhan-Xu Wei, Yan-Tong Zhang, Jing Yang, Department of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China
Author contributions: Cheng H and Yang J drafted the initial manuscript, writing, reviewing and editing of the manuscript; Xia L, Yang HZ, Wei ZX, and Zhang YT drafted the initial manuscript. All authors contributed to the study conception, commented on previous versions of the manuscript, and read and approved the final version.
Supported by National Natural Science Foundation of China, No. 82200353; Jiangsu Province Double Innovation Doctoral Program, No. JSSCBS20221948; Suzhou Gusu Health Talent Program, No. (2022)043; Suzhou Gusu Health Talent Plan Talent Research Project, No. GSWS2022014; Jiangsu Province College Students’ Innovation and Entrepreneurship Training Program Project, No. 202410285087Z; and “Boxi” Talent Casting Plan of the First Affiliated Hospital of Soochow University.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: Jing Yang, PhD, Department of Cardiology, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou 215006, Jiangsu Province, China. jingyang_cardio@163.com
Received: April 22, 2025
Revised: May 12, 2025
Accepted: July 16, 2025
Published online: December 18, 2025
Processing time: 210 Days and 19.3 Hours
Abstract

This article comments on the research by Zhang et al on the role of advanced heart failure and transplant teams in extracorporeal membrane oxygenation (ECMO) management. The study by Zhang et al indicates that direct advanced heart failure and transplant involvement improves survival in ECMO patients, especially those on veno-arterial ECMO. However, the optimal approach varies due to multiple factors. This article discusses the clinical implications, research design limitations, and future directions to enhance ECMO care.

Keywords: Advanced heart failure and transplant team; Extracorporeal membrane oxygenation; Veno-arterial extracorporeal membrane oxygenation; Veno-venous extracorporeal membrane oxygenation; Multidisciplinary team collaboration

Core Tip: The study by Zhang et al suggests that direct involvement of advanced heart failure and transplant teams in extracorporeal membrane oxygenation (ECMO) management improves survival rates, particularly among patients on veno-arterial ECMO. However, the optimal approach can vary based on specific context and patient population. The article highlights the need for multidisciplinary collaboration, standardized protocols, and future research to enhance ECMO care outcomes.