The Journal of Heart and Lung Transplantation
International Society for Heart and Lung Transplantation.
(285)| Volume 40, ISSUE 4, SUPPLEMENT , S127, April 2021

First Report of the GUARDIAN Registry: An International Consortium Examining the Effect of Controlled Hypothermic Preservation in Heart Transplantation

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      To assess the therapeutic effect of advanced organ preservation technology compared to conventional methods on heart transplant recipient perioperative and short-term clinical outcomes.


      The Global Utilization And Registry Database for Improved heArt preservatioN (GUARDIAN) study is an international multi-center retrospective-prospective registry assessing clinical outcomes after heart transplantation. This is the first publication of a multi-center study comparing two methodologies of hypothermic storage: patients with donor hearts preserved by the only FDA cleared and CE marked heart preservation and transportation system [Paragonix SherpaPak Cardiac Transport System], and patients with donor hearts transported by conventional preservation methods (ice protocol). Data on baseline donor, recipient, and procedure characteristics are captured to compare baseline characteristics of the two cohorts.


      Comparisons will be made on peri-operative and short-term patient outcomes including hemodynamic characteristics, required surgical and medical interventions, and length-of-stay data.