Impella 5.0 as a Bridge to Cardiac Transplantation before and after Reclassification of the United Network for Organ Sharing Heart Allocation Criteria

A greater proportion of patients supported with impella 5.0 were transplanted under the new allocation criteria, with shorter support duration and no significant difference in mortality. Impella bridging to transplant is associated with excellent survival. Further investigation is required to delineate the relationships between allocation tier and clinical outcomes.