{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T21:06:27Z","timestamp":1762376787171,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,10,2]],"date-time":"2020-10-02T00:00:00Z","timestamp":1601596800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Venoarterial extracorporeal membrane oxygenation (VA\u2010ECMO) serves as a conventional short\u2010term mechanical circulatory assist to support heart and lung functions. The short\u2010term ventricular assist devices (ST\u2010VAD) can, on the contrary, offer only circulatory support. A combination of VAD and oxygenator (Oxy\u2010VAD) could help overcome this potential disadvantage. This is a retrospective case note study of patients supported on ST\u2010VAD which required adding an oxygenator for extra respiratory support. The oxygenator was introduced in the ST\u2010VAD circuit, either on the left or the right side. Twenty\u2010two patients with the etiology of refractory cardiogenic shock in decompensation were supported on Oxy\u2010VAD between years 2009 and 2019 at tertiary care . All patients were classified into class\u2010I INTERMACS with a mean SOFA Score of 14 \u00b1 2.58. 86.4% of patients were already on mechanical support pre\u2010ST\u2010VAD implant, 80% on VA\u2010ECMO. The BiVAD implant accounted for 63.6%, followed by LVAD and RVAD with 27.3% and 9.1%. Mean duration of the ST\u2010VAD was 8.5 days. The oxygenator was introduced in 14 RVAD and 8 LVAD circuits. The oxygenator was successfully weaned in 54.5% while ST\u2010VAD was explanted in 31.8%. Discharge to home survival was 22.7%. Oxy\u2010VAD proves a viable, and probably, a better option to VA\u2010ECMO in acute cardiorespiratory decompensation. It offers organ\u2010specific tailor\u2010made support to the right and\/or left heart and\/or lungs. While on Oxy\u2010VAD support, each organ performance can be assessed independently, and the assistance of the specifically improved organ can be weaned off without discontinuing the support for the rest.<\/jats:p>","DOI":"10.1111\/aor.13813","type":"journal-article","created":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T03:01:24Z","timestamp":1599188484000},"page":"271-277","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Use of oxygenator with short\u2010term ventricular assist devices"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5533-3089","authenticated-orcid":false,"given":"Prashant","family":"Mohite","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Transplantation and Mechanical Circulatory Support Royal Brompton &amp; Harefiled NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Garda","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Transplantation and Mechanical Circulatory Support Royal Brompton &amp; Harefiled NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kabeer","family":"Umakumar","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Transplantation and Mechanical Circulatory Support Royal Brompton &amp; Harefiled NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sundip","family":"Kaul","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Transplantation and Mechanical Circulatory Support Royal Brompton &amp; Harefiled NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nandor","family":"Marczin","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Transplantation and Mechanical Circulatory Support Royal Brompton &amp; Harefiled NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bartlomiej","family":"Zych","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Transplantation and Mechanical Circulatory Support Royal Brompton &amp; Harefiled NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Garcia\u2010Saez","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Transplantation and Mechanical Circulatory Support Royal Brompton &amp; Harefiled NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2086-8718","authenticated-orcid":false,"given":"Maria","family":"Monteagudo\u2010Vela","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Transplantation and Mechanical Circulatory Support Royal Brompton &amp; Harefiled NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balakrishnan","family":"Mahesh","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Transplantation and Mechanical Circulatory Support Royal Brompton &amp; Harefiled NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Stock","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Transplantation and Mechanical Circulatory Support Royal Brompton &amp; Harefiled NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"De Robertis","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Transplantation and Mechanical Circulatory Support Royal Brompton &amp; Harefiled NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Transplantation and Mechanical Circulatory Support Royal Brompton &amp; Harefiled NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,2]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Available from:https:\/\/www.elso.org\/Resources\/RisksandComplications.aspx"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/aor.12267"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.4161\/org.7.1.14029"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2017.02.014"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt415"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0267659115627691"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0267659114566062"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivy185"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2018.12.01"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezx088"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10047-014-0773-1"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv194"},{"key":"e_1_2_7_14_1","doi-asserted-by":"crossref","unstructured":"MohitePN SimonAR.Isn\u2019t limb as precious as life? Advances in extracorporeal membrane oxygenation\u2014Volume 3 Michael S. Firstenberg IntechOpen;2019May 30.https:\/\/doi.org\/10.5772\/intechopen.86391.","DOI":"10.5772\/intechopen.86391"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.84gr.17002"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2013.10.081"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.10.085"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezx189"}],"container-title":["Artificial Organs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aor.13813","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aor.13813","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aor.13813","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T03:45:26Z","timestamp":1693626326000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aor.13813"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,2]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1111\/aor.13813"],"URL":"https:\/\/doi.org\/10.1111\/aor.13813","archive":["Portico"],"relation":{},"ISSN":["0160-564X","1525-1594"],"issn-type":[{"type":"print","value":"0160-564X"},{"type":"electronic","value":"1525-1594"}],"subject":[],"published":{"date-parts":[[2020,10,2]]},"assertion":[{"value":"2020-05-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}