Timing of Heart Transplantation & LVADs: Balancing Benefits, Risks, and Surgical Insights

Mr Espeed Khoshbin is a distinguished consultant cardiac surgeon at Royal Brompton and Harefield hospitals, specialising in heart and lung transplantation and mechanical circulatory support. With extensive expertise in advanced surgical therapies, Mr Khoshbin delivers exceptional care in a wide range of complex cardiac and thoracic procedures, from coronary artery bypass grafting (CABG) to left ventricular assist device (LVAD) implantation.

Biography
Mr. Khoshbin earned his MB ChB from Aberdeen Medical School and later completed a postgraduate research doctorate (MD) at the University of Leicester. He began his cardiac surgery training at St Mary’s Hospital in London as part of the East Thames rotation and achieved the Fellowship of The Surgical Royal Colleges of Great Britain and Ireland (FRCS CTh). Recognised for his excellence in the field, Mr. Khoshbin was appointed to the UK's prestigious National Peri-CCT Fellowship in cardiothoracic transplantation.

Furthering his global expertise, he was awarded a travelling scholarship by the International Society of Heart and Lung Transplantation, enabling him to advance his training at UCLA in California.

Mr. Khoshbin is also a dedicated educator, serving as the national lead for heart and lung transplant education, the local lead for cardiac surgical training, and an examiner for the European and UK cardiac surgery boards. He is the NHS lead for organ utilisation at Royal Brompton and Harefield Hospitals, underscoring his commitment to advancing transplantation practices.

Research Interests
Mr. Khoshbin is an active researcher with a doctorate (MD) in extra-corporeal mechanical circulatory support. He has led randomised controlled trials in cardiac surgery and contributes to both clinical and laboratory research. His interests extend to education research and the integration of artificial intelligence in cardiac surgery.

Publications
Mr. Khoshbin has published extensively in high-impact, peer-reviewed medical journals, covering topics such as cardiac surgery, transplantation, and mechanical circulatory support. His work includes contributions to Cochrane systematic reviews, randomised trials, and meta-analyses. His publications appear in prestigious journals such as The British Medical Journal, Circulation, The Journal of Heart and Lung Transplantation, Annals of Cardiothoracic Surgery, European Journal of Cardiothoracic Surgery, and The Journal of Thoracic and Cardiovascular Surgery.

Additionally, Mr. Khoshbin serves as an expert reviewer for the National Institute for Health and Care Research (NIHR) and other leading journals in his field.

Dr Owais Dar is a leading consultant cardiologist, with specialised expertise in advanced heart failure, cardiac transplantation, and mechanical circulatory support. He completed his specialist cardiology and heart failure training at renowned institutions including North West London Hospitals NHS Trust, The Royal Brompton & Harefield NHS Foundation Trust, and Whittington Hospital. Further enhancing his expertise, Dr. Dar undertook an international fellowship at Vienna General Hospital (Austria) and Stanford Health Care (California, USA), focusing on advanced heart failure, heart transplantation, and left ventricular assist devices (LVADs).

Areas of Expertise
Dr Dar’s clinical practice is dedicated to managing adult patients with complex heart failure. Most of his patients are referred for specialist opinions on:

• Ongoing heart failure treatment and management
• Optimisation of drug therapy
• The use of advanced cardiac devices, such as pacemakers or implantable defibrillators
• Consideration for cardiac transplant or mechanical circulatory support, including LVAD surgery

His collaborative approach with multidisciplinary teams ensures that patients receive the highest standard of care tailored to their specific needs.

Research and Academic Contributions
Dr Dar earned his research degree from the National Heart and Lung Institute at Imperial College London in 2010, where he investigated the role of telemonitoring in improving outcomes for heart failure patients. His ongoing research interests include innovations in cardiac transplantation and mechanical circulatory support technologies.

Dr. Dar is also an accomplished author, contributing to several peer-reviewed journals and writing book chapters on heart failure, cardiac transplantation, and heart failure technologies.

Education and Publications
With his background in both clinical practice and academic research, Dr. Dar has published extensively in leading cardiology journals. His work has contributed significantly to advancing knowledge in heart failure management, cardiac devices, and transplantation.