{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T21:31:07Z","timestamp":1792186267411,"version":"4.4.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In a multi-institutional contemporary cohort of patients\u2009&amp;lt;\u200918 years with congenital heart disease (CHD), we compare outcomes of bridge-to-transplant with and without ventricular assist device (VAD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The United Network for Organ Sharing was queried for all patients &amp;lt;18 years with CHD listed for cardiac transplantation (January 1, 2014, to December 31, 2023). Patients were split into 2 cohorts based on the presence of VAD while on the waitlist. Univariable and multivariable analyses were performed to assess baseline characteristics and post-transplant survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The overall patient cohort consisted of 3394 CHD patients listed for cardiac transplantation at 65 centres: 561\/3394\u2009=\u200916.5% had VAD support while on the waitlist and 2833\/3394\u2009=\u200983.5% did not. A total of 396\/561\u2009=\u200970.6% of VAD-supported patients and 1852\/2833\u2009=\u200965.4% of non-VAD\u2013supported patients underwent cardiac transplantation. Waitlist mortality, defined as death or removal from waitlist due to clinical deterioration, was 602\/3394\u2009=\u200917.7% for all patients, 144\/561\u2009=\u200925.7% for VAD-supported patients, and 458\/2833\u2009=\u200916.2% for non-VAD\u2013supported patients. Among the 2248 transplanted CHD patients transplanted at 65 centres (n\u2009=\u2009396 VAD-supported, n\u2009=\u20091852 non-VAD\u2013supported), Berlin Heart was the most frequently used VAD (209\/396\u2009=\u200952.8%), and VAD configuration was mostly left ventricular assist device (306\/396\u2009=\u200977.3%). VAD support among CHD patients\u2009&amp;lt;\u200918 bridged-to-transplant increased (20 in 2014, 73 in 2023). VAD-supported patients had similar rates of post-transplant stroke (25\/389\u2009=\u20096.4% vs 83\/1835\u2009=\u20094.5%, P\u2009=\u2009.145) and episodes of acute rejection (60\/396\u2009=\u200915.2% vs 305\/1852\u2009=\u200916.5%, P\u2009=\u2009.582) compared to non-VAD\u2013supported patients. No significant differences between VAD-supported and non-VAD\u2013supported patients were seen in longitudinal post-transplant survival up to 5 years (log-rank P\u2009=\u2009.257).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In the last decade, patients &amp;lt;18 years with CHD bridged-to transplant with VAD achieve post-transplant outcomes and long-term survival similar to those bridged without VAD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaf290","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:47:39Z","timestamp":1756381659000},"source":"Crossref","is-referenced-by-count":3,"title":["Analysis of UNOS: Ventricular Assist Device as Bridge-to-Transplant in Paediatric Patients With Congenital Heart Disease"],"prefix":"10.1093","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5449-2114","authenticated-orcid":false,"given":"Ahmet","family":"Bilgili","sequence":"first","affiliation":[{"name":"Congenital Heart Center, University of Florida , Gainesville, FL 32608,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordyn","family":"Pendarvis","sequence":"additional","affiliation":[{"name":"Congenital Heart Center, University of Florida , Gainesville, FL 32608,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar M","family":"Sharaf","sequence":"additional","affiliation":[{"name":"Congenital Heart Center, University of Florida , Gainesville, FL 32608,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giles J","family":"Peek","sequence":"additional","affiliation":[{"name":"Congenital Heart Center, University of Florida , Gainesville, FL 32608,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Steven","family":"Bleiweis","sequence":"additional","affiliation":[{"name":"Congenital Heart Center, University of Florida , Gainesville, FL 32608,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9916-929X","authenticated-orcid":false,"given":"Jeffrey Phillip","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Congenital Heart Center, University of Florida , Gainesville, FL 32608,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"2025091922025185800_ezaf290-B1","doi-asserted-by":"publisher","first-page":"S305","DOI":"10.1016\/j.ajt.2024.01.016","article-title":"OPTN\/SRTR 2022 annual data report: heart","volume":"24","author":"Colvin","year":"2024","journal-title":"Am J 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