{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T08:10:22Z","timestamp":1779351022169,"version":"3.51.4"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":2477,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T00:00:00Z","timestamp":1554768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Cardiogenic shock from biventricular failure that requires acute mechanical circulatory support carries high 30 day mortality. Acute mechanical circulatory support can serve as bridge to orthotopic heart transplant (OHT) in selected patients. We report a patient with biventricular failure secondary to rapidly progressive cardiac sarcoidosis refractory to medical management who was bridged to OHT with Impella 5.0 and Impella RP\u2014temporary left and right ventricular assist devices, respectively. This is the first successful bridge to transplantation using these devices in biventricular heart failure and cardiogenic shock. We discuss considerations for using this strategy over veno-arterial extracorporeal membrane oxygenation or surgically implanted assist devices in patients with cardiogenic shock and biventricular failure as a bridge to OHT.<\/jats:p>","DOI":"10.1002\/ehf2.12412","type":"journal-article","created":{"date-parts":[[2019,4,10]],"date-time":"2019-04-10T00:12:38Z","timestamp":1554855158000},"page":"552-554","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Minimally Invasive Biventricular Mechanical Circulatory Support with Impella Pumps as a Bridge to Heart Transplantation: A First-in-the-World Case Report"],"prefix":"10.1093","volume":"6","author":[{"given":"Kenneth","family":"Varian","sequence":"first","affiliation":[{"name":"Section of Heart Failure and Cardiac Transplant Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic , 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weining David","family":"Xu","sequence":"additional","affiliation":[{"name":"Section of Heart Failure and Cardiac Transplant Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic , 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiqin","family":"Lin","sequence":"additional","affiliation":[{"name":"Section of Heart Failure and Cardiac Transplant Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic , 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Unai","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic , Cleveland, OH ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael Z.","family":"Tong","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic , Cleveland, OH ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Soltesz","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic , Cleveland, OH ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amar","family":"Krishnaswamy","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology, Heart and Vascular Institute, Cleveland Clinic , Cleveland, OH ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir","family":"Kapadia","sequence":"additional","affiliation":[{"name":"Section of Interventional Cardiology, Heart and Vascular Institute, Cleveland Clinic , Cleveland, OH ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Feitell","sequence":"additional","affiliation":[{"name":"Sands-Constellation Heart Institute, Rochester General Hospital , Rochester, NY ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mazen","family":"Hanna","sequence":"additional","affiliation":[{"name":"Section of Heart Failure and Cardiac Transplant Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic , 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emer","family":"Joyce","sequence":"additional","affiliation":[{"name":"Section of Heart Failure and Cardiac Transplant Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic , 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Schoenhagen","sequence":"additional","affiliation":[{"name":"Section of Cardiovascular Imaging, Heart and Vascular Institute, Cleveland Clinic , Cleveland, OH ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randall C.","family":"Starling","sequence":"additional","affiliation":[{"name":"Section of Heart Failure and Cardiac Transplant Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic , 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David O.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Section of Heart Failure and Cardiac Transplant Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic , 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio L.","family":"Perez","sequence":"additional","affiliation":[{"name":"Section of Heart Failure and Cardiac Transplant Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic , 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195 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