{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T21:25:47Z","timestamp":1783027547039,"version":"3.54.6"},"reference-count":26,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jtcvsonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.jtcvs.2025.04.024","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T11:11:48Z","timestamp":1745925108000},"page":"837-849.e10","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Paracorporeal continuous-flow ventricular assist devices (cfVADs) for children less than 20 kg: Challenging the paradigm in the smallest patients"],"prefix":"10.1016","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4631-9685","authenticated-orcid":false,"given":"Ryan R.","family":"Davies","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehreen","family":"Iqbal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jodie","family":"Lantz-Thomason","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sydney","family":"Carrington","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert D.B.","family":"Jaquiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sirine A.","family":"Baltagi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier J.","family":"Lasa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Butts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.jtcvs.2025.04.024_bib1","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1111\/ajt.16921","article-title":"Pediatric heart transplant waiting times in the United States since the 2016 allocation policy change","volume":"22","author":"Williams","year":"2022","journal-title":"Am J Transplant"},{"issue":"4","key":"10.1016\/j.jtcvs.2025.04.024_bib2","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.healun.2021.01.010","article-title":"Berlin Heart EXCOR and ACTION post-approval surveillance study report","volume":"40","author":"Zafar","year":"2021","journal-title":"J Heart Lung Transplant"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.04.024_bib3","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1016\/j.athoracsur.2022.10.042","article-title":"Sixth annual pediatric interagency registry for mechanical circulatory support (Pedimacs) report: the Society of Thoracic Surgeons Pedimacs annual report","volume":"115","author":"Adachi","year":"2023","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.04.024_bib4","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1007\/s00246-022-02863-7","article-title":"Decreased risk of strokes in children with ventricular assist devices within ACTION","volume":"43","author":"Peng","year":"2022","journal-title":"Pediatr Cardiol"},{"issue":"7","key":"10.1016\/j.jtcvs.2025.04.024_bib5","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1016\/j.healun.2021.03.008","article-title":"Stroke in pediatric ventricular assist device patients\u2014a pedimacs registry analysis","volume":"40","author":"Niebler","year":"2021","journal-title":"J Heart Lung Transplant"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.04.024_bib6","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.healun.2016.03.005","article-title":"Adverse events in children implanted with ventricular assist devices in the United States: data from the Pediatric Interagency Registry for Mechanical Circulatory Support (PediMACS)","volume":"35","author":"Rosenthal","year":"2016","journal-title":"J Hear Lung Transplant"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.04.024_bib7","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1016\/j.healun.2016.01.1224","article-title":"Supporting pediatric patients with short-term continuous-flow devices","volume":"35","author":"Conway","year":"2016","journal-title":"J Hear Lung Transplant"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.04.024_bib8","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1093\/ejcts\/ezu544","article-title":"Outcome of mechanical cardiac support in children using more than one modality as a bridge to heart transplantation","volume":"48","author":"Rita","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.04.024_bib9","doi-asserted-by":"crossref","first-page":"1739","DOI":"10.1016\/j.athoracsur.2021.09.043","article-title":"Evolution of ventricular assist device support strategy in children with univentricular physiology","volume":"114","author":"Merritt","year":"2022","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.04.024_bib10","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/MAT.0000000000000007","article-title":"Successful bridge to transplant with a continuous flow ventricular assist device in a single ventricle patient with an aortopulmonary shunt","volume":"60","author":"Lal","year":"2014","journal-title":"ASAIO J"},{"issue":"23","key":"10.1016\/j.jtcvs.2025.04.024_bib11","doi-asserted-by":"crossref","first-page":"2241","DOI":"10.1056\/NEJMoa0909938","article-title":"Advanced heart failure treated with continuous-flow left ventricular assist device","volume":"361","author":"Slaughter","year":"2009","journal-title":"N Engl J Med"},{"issue":"9","key":"10.1016\/j.jtcvs.2025.04.024_bib12","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1056\/NEJMoa067758","article-title":"Use of a continuous-flow device in patients awaiting heart transplantation","volume":"357","author":"Miller","year":"2007","journal-title":"N Engl J Med"},{"issue":"7","key":"10.1016\/j.jtcvs.2025.04.024_bib13","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1001\/jamacardio.2018.0522","article-title":"Evolution of left ventricular assist device therapy for advanced heart failure: a review","volume":"3","author":"Miller","year":"2018","journal-title":"JAMA Cardiol"},{"issue":"4","key":"10.1016\/j.jtcvs.2025.04.024_bib14","doi-asserted-by":"crossref","first-page":"349","DOI":"10.21037\/tp.2019.07.12","article-title":"Collaboration and new data in ACTION: a learning health care system to improve pediatric heart failure and ventricular assist device outcomes","volume":"8","author":"Peng","year":"2019","journal-title":"Transl Pediatr"},{"issue":"3","key":"10.1016\/j.jtcvs.2025.04.024_bib15","doi-asserted-by":"crossref","first-page":"e185","DOI":"10.1016\/j.athoracsur.2020.12.042","article-title":"Heart failure after cavopulmonary connection: conversion to biventricular circulatory support","volume":"112","author":"Davies","year":"2021","journal-title":"Ann Thorac Surg"},{"issue":"11","key":"10.1016\/j.jtcvs.2025.04.024_bib16","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1016\/j.healun.2017.05.020","article-title":"Impact of a modified anti-thrombotic guideline on stroke in children supported with a pediatric ventricular assist device","volume":"36","author":"Rosenthal","year":"2017","journal-title":"J Hear Lung Transplant"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.04.024_bib17","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1177\/21501351221146150","article-title":"A single-institutional experience with 36 children smaller than 5 kilograms supported with the Berlin Heart ventricular assist device (VAD) over 12 years: comparison of patients with biventricular versus functionally univentricular circulation","volume":"14","author":"Bleiweis","year":"2022","journal-title":"World J Pediatr Congenit Hear Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2025.04.024_bib18","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.1016\/j.athoracsur.2021.06.062","article-title":"Paracorporeal support in pediatric patients: the role of the patient-device interaction","volume":"114","author":"Sughimoto","year":"2022","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.04.024_bib19","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1177\/21501351231181105","article-title":"Outcomes of children supported with pulsatile paracorporeal ventricular assist device: congenital versus acquired heart disease","volume":"14","author":"Bleiweis","year":"2023","journal-title":"World J Pediatr Congenit Hear Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.04.024_bib20","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.jchf.2014.07.011","article-title":"Delineating survival outcomes in children <10 kg bridged to transplant or recovery with the Berlin Heart EXCOR Ventricular Assist Device","volume":"3","author":"Conway","year":"2015","journal-title":"JACC Hear Fail"},{"issue":"3","key":"10.1016\/j.jtcvs.2025.04.024_bib21","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1097\/MAT.0000000000002297","article-title":"Development and validation of a novel pediatric mechanical circulatory support risk stratification tool: the Advanced Cardiac Therapies Improving Outcomes Network (ACTION) ventricular assist device score","volume":"71","author":"Bonilla-Ramirez","year":"2025","journal-title":"ASAIO J"},{"issue":"4","key":"10.1016\/j.jtcvs.2025.04.024_bib22","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1016\/j.athoracsur.2010.04.107","article-title":"Use of ventricular assist devices in children across the United States: analysis of 7.5 million pediatric hospitalizations","volume":"90","author":"Morales","year":"2010","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.04.024_bib23","doi-asserted-by":"crossref","first-page":"e62","DOI":"10.1016\/j.jtcvs.2013.02.031","article-title":"Unique case of total artificial cardiac support in failed Fontan circulation after cardiectomy: is continuous flow better than pulsatile flow?","volume":"145","author":"Vanderpluym","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2025.04.024_bib24","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.jbiomech.2016.12.003","article-title":"Superior performance of continuous over pulsatile flow ventricular assist devices in the single ventricle circulation: a computational study","volume":"52","author":"Schmidt","year":"2017","journal-title":"J Biomech"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.04.024_bib25","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1016\/j.healun.2014.09.015","article-title":"Ventricular reconditioning and pump explantation in patients supported by continuous-flow left ventricular assist devices","volume":"34","author":"Frazier","year":"2015","journal-title":"J Heart Lung Transplant"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.04.024_bib26","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/j.jtcvs.2013.10.030","article-title":"The use of the Berlin heart EXCOR in patients with functional single ventricle","volume":"147","author":"Weinstein","year":"2014","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S002252232500323X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S002252232500323X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T21:03:26Z","timestamp":1783026206000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S002252232500323X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["S002252232500323X"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2025.04.024","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Paracorporeal continuous-flow ventricular assist devices (cfVADs) for children less than 20 kg: Challenging the paradigm in the smallest patients","name":"articletitle","label":"Article Title"},{"value":"The Journal of Thoracic and Cardiovascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtcvs.2025.04.024","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by The American Association for Thoracic Surgery","name":"copyright","label":"Copyright"}]}}