{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:41:22Z","timestamp":1747183282974,"version":"3.40.5"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T00:00:00Z","timestamp":1707177600000},"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":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>For the Veterans Health Administration (VHA) to continue to perform complex cardiothoracic surgery, there must be an established pathway for providing urgent\/emergent extracorporeal life support (ECLS). Partnership with a nearby tertiary care center with such expertise may be the most resource\u2010efficient way to provide ECLS services to patients in post\u2010cardiotomy cardiogenic shock or respiratory failure. The goal of this project was to assess the efficiency, safety, and outcomes of surgical patients who required transfer for perioperative ECLS from a single stand\u2010alone Veterans Affairs Medical Center (VAMC) to a separate ECLS center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cohort consisted of all cardiothoracic surgery patients who experienced cardiogenic shock or refractory respiratory failure at the local VAMC requiring urgent or emergent institution of ECLS between 2019 and 2022. The primary outcomes are the safety and timeliness of transport.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean time from the initial shock call to arrival at the ECLS center was 2.8\u2009h. There were no complications during transfer. Six patients (86%) survived to decannulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These results suggest that complex cardiothoracic surgery can be performed within the VHA system and when there is an indication for ECLS, those services can be safely and effectively provided at an affiliated, properly equipped center.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aor.14722","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T06:57:55Z","timestamp":1707289075000},"page":"675-682","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A model for delivery of extracorporeal life support in a stand\u2010alone veterans affairs medical center"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0259-6704","authenticated-orcid":false,"given":"Benjamin D.","family":"Seadler","sequence":"first","affiliation":[{"name":"Division of Cardiothoracic Surgery Medical College of Wisconsin  Milwaukee Wisconsin USA"},{"name":"Cardiothoracic Surgery Clement J Zablocki Veterans Affairs Medical Center  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Melamed","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery Medical College of Wisconsin  Milwaukee Wisconsin USA"},{"name":"Cardiothoracic Surgery Clement J Zablocki Veterans Affairs Medical Center  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mami","family":"Sow","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery Medical College of Wisconsin  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Austin L.","family":"Rogers","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery Medical College of Wisconsin  Milwaukee Wisconsin USA"},{"name":"Cardiothoracic Surgery Clement J Zablocki Veterans Affairs Medical Center  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Syed","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery Medical College of Wisconsin  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul L.","family":"Linsky","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery Medical College of Wisconsin  Milwaukee Wisconsin USA"},{"name":"Cardiothoracic Surgery Clement J Zablocki Veterans Affairs Medical Center  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. 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Hossein","family":"Almassi","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery Medical College of Wisconsin  Milwaukee Wisconsin USA"},{"name":"Cardiothoracic Surgery Clement J Zablocki Veterans Affairs Medical Center  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10061101"},{"issue":"92","key":"e_1_2_8_3_1","first-page":"21893","article-title":"Expanded access to non\u2010VA care through the veterans choice program","volume":"83","author":"Affairs DoV","year":"2018","journal-title":"Final Rule Fed Regist"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000743"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001490"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05116-1"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-018-4574-8"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2022.4978"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000000720"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.6488"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(96)70176-9"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2020.01.009"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-021-01638-0"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)03330-6"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1532\/hsf.4431"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0218492318760694"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.02.043"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001703"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2019.01.003"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.02.037"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001653"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.09.021"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2014.06.025"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0267659114531611"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.07.040"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.5114\/ait.2020.94501"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2019.06.011"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0b013e3182238b55"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-019-2541-3"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001202"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2010.08.047"}],"container-title":["Artificial Organs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aor.14722","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T09:21:20Z","timestamp":1716196880000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aor.14722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,6]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1111\/aor.14722"],"URL":"https:\/\/doi.org\/10.1111\/aor.14722","archive":["Portico"],"relation":{},"ISSN":["0160-564X","1525-1594"],"issn-type":[{"type":"print","value":"0160-564X"},{"type":"electronic","value":"1525-1594"}],"subject":[],"published":{"date-parts":[[2024,2,6]]},"assertion":[{"value":"2023-07-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}