{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:49:50Z","timestamp":1790668190917,"version":"4.1.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T00:00:00Z","timestamp":1766188800000},"content-version":"vor","delay-in-days":1869,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,11,7]],"date-time":"2020-11-07T00:00:00Z","timestamp":1604707200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We describe the case of a 58-year-old man presenting with myocardial infarction complicated by cardiogenic shock, treated with Impella CP which was escalated to an axillary 5.0 due to lack of cardiac recovery. Weaning from Impella 5.0 failed, and the patient was evaluated for heart transplantation (HTx) or left ventricular assist device (LVAD). HTx was excluded because of a rectal adenocarcinoma. The patient underwent colorectal surgery while on Impella. Perioperative course was uneventful. After 61 days of Impella, when the LVAD implantation was scheduled, the patient died due to K. pneumoniae infection.<\/jats:p>","DOI":"10.1002\/ehf2.12758","type":"journal-article","created":{"date-parts":[[2020,11,7]],"date-time":"2020-11-07T20:41:50Z","timestamp":1604781710000},"page":"167-170","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Impella 5.0 Supported Oncological Surgery as Bridge to LVAD"],"prefix":"10.1093","volume":"8","author":[{"given":"Andrea","family":"Montisci","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Cardiothoracic Centre, Istituto Clinico Sant'Ambrogio , Milan ,","place":["Italy"]},{"name":"Chair of Cardiac Surgery, Postgraduate in Cardiac Surgery, University of Milan , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giancarlo","family":"Micheletto","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Istituto Clinico Sant'Ambrogio , Milan ,","place":["Italy"]},{"name":"Department of Pathophysiology and Transplantation, University of Milan , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Sibilio","sequence":"additional","affiliation":[{"name":"Chair of Cardiac Surgery, Postgraduate in Cardiac Surgery, University of Milan , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Donatelli","sequence":"additional","affiliation":[{"name":"Chair of Cardiac Surgery, Postgraduate in Cardiac Surgery, University of Milan , Milan ,","place":["Italy"]},{"name":"Department of Cardiac Surgery, Cardiothoracic Centre, Istituto Clinico Sant'Ambrogio , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurizio","family":"Tespili","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology, Cardiothoracic Centre, Istituto Clinico Sant'Ambrogio , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Banfi","sequence":"additional","affiliation":[{"name":"Chair of Cardiac Surgery, Postgraduate in Cardiac Surgery, University of Milan , Milan ,","place":["Italy"]},{"name":"Department of Cardiac Surgery, Cardiothoracic Centre, Istituto Clinico Sant'Ambrogio , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Casilli","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology, Cardiothoracic Centre, Istituto Clinico Sant'Ambrogio , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Cosseta","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Cardiothoracic Centre, Istituto Clinico Sant'Ambrogio , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Miceli","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Cardiac Surgery, Cardiothoracic Centre, Istituto Clinico Sant'Ambrogio , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Cirri","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Cardiothoracic Centre, Istituto Clinico Sant'Ambrogio , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Pappalardo","sequence":"additional","affiliation":[{"name":"Advanced Heart Failure and Mechanical Circulatory Support Program, San Raffaele Scientific Institute , Milan ,","place":["Italy"]},{"name":"Vita-Salute San Raffaele University , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,11,7]]},"reference":[{"key":"2026012114042815400_ehf212758-bib-0001","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.healun.2012.11.003","article-title":"Pre-transplant malignancy: an analysis of outcomes after thoracic organ transplantation","volume":"32","author":"Beaty","year":"2013","journal-title":"J Heart Lung Transplant"},{"key":"2026012114042815400_ehf212758-bib-0002","first-page":"1","article-title":"Beyond the means of natural selection: a case of end stage heart failure and advanced esophageal cancer successfully treated with an implantable left ventricular assist device (LVAD) and aggressive chemoradiation therapy","volume":"2","author":"Samuels","year":"2017","journal-title":"Cardiovasc Disord Med"},{"key":"2026012114042815400_ehf212758-bib-0003","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.healun.2012.09.013","article-title":"International Society for Heart and Lung Transplantation. The 2013 International Society For Heart And Lung Transplantation Guidelines for mechanical circulatory support: executive summary","volume":"32","author":"Feldman","year":"2013","journal-title":"J Heart Lung Transplant"},{"key":"2026012114042815400_ehf212758-bib-0004","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1093\/annonc\/mdx224","article-title":"Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up","volume":"28","author":"Glynne-Jones","year":"2017","journal-title":"Ann Oncol"},{"key":"2026012114042815400_ehf212758-bib-0005","doi-asserted-by":"crossref","first-page":"1673","DOI":"10.1586\/erc.10.158","article-title":"Magnus Ohman (2010) Bivalirudin: a review of the pharmacology and clinical application","volume":"8","author":"Van De Car","year":"2010","journal-title":"Expert Rev Cardiovasc Ther"},{"key":"2026012114042815400_ehf212758-bib-0006","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1097\/IMI.0000000000000535","article-title":"Outcomes of Impella 5.0 in cardiogenic shock: a systematic review and meta-analysis","volume":"4","author":"Batsides","year":"2018","journal-title":"Innovations (Phila)"},{"key":"2026012114042815400_ehf212758-bib-0007","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1016\/j.acvd.2018.03.011","article-title":"Current indications for the intra-aortic balloon pump: the CP-GARO registry","volume":"12","author":"Helleu","year":"2018","journal-title":"Arch Cardiovasc Dis"},{"key":"2026012114042815400_ehf212758-bib-0008","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/s12265-018-9820-2","article-title":"Mechanical unloading by fulminant myocarditis: LV-IMPELLA, ECMELLA, BI-PELLA, and PROPELLA concepts","volume":"12","author":"Tsch\u00f6pe","year":"2019","journal-title":"J Cardiovasc Trans Res"},{"key":"2026012114042815400_ehf212758-bib-0009","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1093\/ejcts\/ezz118","article-title":"Impella 5.0 therapy as a bridge-to-decision option for patients on extracorporeal life support with unclear neurological outcomes","volume":"6","author":"Bernhardt","year":"2019","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026012114042815400_ehf212758-bib-0010","first-page":"1173","article-title":"Improved outcomes associated with the use of shock protocols: updates from the National Cardiogenic Shock Initiative","volume":"7","author":"Basir","year":"2019","journal-title":"Catheter Cardiovasc Interv"}],"container-title":["ESC Heart Failure"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ehf2.12758","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ehf2.12758","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/eschf\/article-pdf\/8\/1\/167\/65798681\/eschf_8_1_167.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eschf\/article-pdf\/8\/1\/167\/65798681\/eschf_8_1_167.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T19:04:54Z","timestamp":1769022294000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eschf\/article\/8\/1\/167\/8369335"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,7]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,11,7]]},"published-print":{"date-parts":[[2021,2,1]]}},"URL":"https:\/\/doi.org\/10.1002\/ehf2.12758","relation":{},"ISSN":["2055-5822"],"issn-type":[{"value":"2055-5822","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,2]]},"published":{"date-parts":[[2020,11,7]]},"assertion":[{"value":"2019-11-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}