{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T17:05:48Z","timestamp":1774285548955,"version":"3.50.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Microaxial flow pumps (mAFP) are a well-established treatment modality for patients in cardiogenic shock, significantly improving haemodynamic and end-organ-function. In complex heart failure patients currently ineligible for advanced heart failure therapies, such as durable left ventricular assist device (dLVAD) implantation or heart transplantation (HTx), mAFP can serve as a preconditioning tool in a bridge-to-candidacy strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 61-year-old male patient with known dilatative cardiomyopathy and multiple comorbidities presented in cardiogenic shock, accompanied by end-organ dysfunction, fluid overload, and the need for moderate catecholaminergic support. Bilateral lower limb stasis dermatitis with infected ulcers excluded advanced heart failure surgery. Initial management included high-dose diuretics, paracenteses and pleural drainage. To further improve microcirculation and optimize conditions for ulcer treatment, ongoing haemodynamic support was escalated through the implantation of a full-support transaxillary mAFP. Comprehensive wound care was initiated with successful split-thickness skin grafting during ongoing mAFP support. Given favourable wound healing, the patient underwent uncomplicated dLVAD implantation. Early postoperative right heart failure necessitated continued inotropic support. Following high-urgency HTx listing the patient was successfully transplanted eight months later.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Medium-term full-support mAFP provided robust circulatory output, enabling effective decongestion and wound healing in a bridge-to-candidacy approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag137","type":"journal-article","created":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T12:39:05Z","timestamp":1772541545000},"source":"Crossref","is-referenced-by-count":0,"title":["Skin grafting while preconditioning with microaxial flow pump: case report of a successful bridge to candidacy approach"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0115-9315","authenticated-orcid":false,"given":"Anna","family":"Stegmann","sequence":"first","affiliation":[{"name":"Department of 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,","place":["Germany"]},{"name":"Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin , Charit\u00e9platz 1, Berlin 10117 ,","place":["Germany"]},{"name":"German Center for Cardiovascular Research (DZHK), Partner site Berlin , Potsdamer Str. 58, Berlin 10785 ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evgenij V","family":"Potapov","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charit\u00e9 , Augustenburger Platz 1, Berlin 13353 ,","place":["Germany"]},{"name":"Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin , Charit\u00e9platz 1, Berlin 10117 ,","place":["Germany"]},{"name":"German Center for Cardiovascular Research (DZHK), Partner site Berlin , Potsdamer Str. 58, Berlin 10785 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