{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T18:32:40Z","timestamp":1786559560216,"version":"build-2736575974"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Outflow graft obstruction (OGO) is an increasingly recognized complication of continuous\u2010flow left ventricular assist devices (CF\u2010LVADs), particularly the HeartMate 3. Surgical revision is often high risk, and percutaneous alternatives are emerging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the feasibility, safety, and outcomes of endovascular stenting for the treatment of LVAD OGO using a multimodality imaging approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed all HeartMate 3 patients undergoing percutaneous treatment of OGO at our institution between September 2023 and April 2025. Clinical presentation, multimodality imaging findings, procedural characteristics, and outcomes were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight patients underwent endovascular intervention. All presented with persistent low\u2010flow alarms and variable syncope or neurologic symptoms. Technical success was achieved in all cases. Median LVAD flow improved from 2.8\u2009L\/min pre\u2010intervention to 4.4\u2009L\/min post\u2010intervention. Two access\u2010related bleeding complications and one hemothorax occurred, all managed successfully. At a median follow\u2010up of 7 months, no recurrent OGO was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Endovascular stenting guided by multimodality imaging is a feasible and effective alternative to surgical revision for LVAD OGO in selected patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70627","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T09:54:12Z","timestamp":1776160452000},"page":"26-32","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous Stenting of LVAD Outflow Graft Obstruction: A Multimodality Imaging Case Series"],"prefix":"10.1002","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4981-5683","authenticated-orcid":false,"given":"Ahmed","family":"Ahmed","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Cardiology Rochester General Hospital Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahad","family":"Eid","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Rochester General Hospital Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Eid","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Rochester General Hospital Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshay","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Rochester General Hospital Rochester New York USA"},{"name":"Department of Medicine, Division of Advanced Heart Failure and Transplant Cardiology, NewYork\u2010Presbyterian Hospital Weill Cornell Medical Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhad","family":"Abtahian","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Rochester General Hospital Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdallah","family":"Bitar","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Rochester General Hospital Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Lydonz","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Vascular Surgery Rochester General Hospital Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Feitell","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Rochester General Hospital Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soidjon","family":"Khodjaev","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Rochester General Hospital Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1610426"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.5090\/jcs.23.133"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezz098"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/aor.14736"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.13333"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crmic.2024.100019"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2021.12.014"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2022.10.028"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2019.02.003"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvscit.2024.101430"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001060"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-21-00899"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29785"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaccas.2019.09.027"}],"container-title":["Catheterization 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