{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T16:03:19Z","timestamp":1777478599920,"version":"3.51.4"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>We sought to investigate the clinical results of preemptive temporary right ventricular assist device (RVAD) placement with left ventricular assist device (LVAD) implantation for anticipated right ventricular failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients at risk for right ventricular failure were identified by the heart team. After median sternotomy, Protekduo (LivaNova, London, UK) dual\u2010stage cannula was inserted from the right internal jugular vein under fluoroscopy guidance, and advanced into the pulmonary artery to the bifurcation of the main pulmonary artery. This was then connected to the venous drainage from the right atrium for cardiopulmonary bypass (CPB). After LVAD implantation, we connected the Protekduo cannula to the RVAD with oxygenator, and weaned CPB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 17 patients have received BiVAD implantation with this technique. The median age of patients was 55\u2009years [Interquartile range (IQR): 51\u201363.5] and 94% (16\/17) patients were male. 63.6% (7\/11) of the patients were INTERMACS profile 1 or 2. Preoperatively, the median pulmonary artery pulsatility index was 4.0 [1.5\u20134.9] and median right ventricular stroke work index was 454.1\u2009g\/m\/beat\/m\n                      <jats:sup>2<\/jats:sup>\n                      [436.5\u2013530.2]. Postoperatively, the oxygenators were removed on median postoperative day (POD) 3.5 [3 \u2013 5]. Patients received mechanical ventilation for a median of 4\u2009days [1.5\u201312] and RVADs were explanted on median POD 8 [7\u201319] at bedside with local anesthesia. Median ICU stay was 15\u2009days [11.4\u201324]. Perioperative complications included delayed sternal closure [54.5% (6\/11)], re\u2010exploration for bleeding [18% (2\/11)], acute kidney injury [36% (4\/11)], and heparin induced thrombocytopenia [18% (2\/11)]. 30\u2010day mortality was 0% (0\/11) and 1\u2009year survival was 85.9%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Preemptive temporary RVAD implantation strategy for right heart failure post\u2010LVAD showed acceptable clinical outcomes without any 30\u2010day mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aor.14853","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T08:34:41Z","timestamp":1727685281000},"page":"156-163","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Preemptive temporary right ventricular assist device implantation for severe biventricular heart failure: A case series"],"prefix":"10.1111","volume":"49","author":[{"given":"Takuma","family":"Miyamoto","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daler","family":"Rahimov","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danial","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chelsey T.","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Surgery, Lewis Katz School of Medicine Temple University  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4962-1524","authenticated-orcid":false,"given":"Ron","family":"Leong","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9621-3198","authenticated-orcid":false,"given":"Stefanie","family":"Marek\u2010Iannucci","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yevgeniy","family":"Brailovsky","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Indranee","family":"Rajapreyar","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Eduardo","family":"Rame","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rene J.","family":"Alvarez","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1492-6483","authenticated-orcid":false,"given":"John W.","family":"Entwistle","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4357-3533","authenticated-orcid":false,"given":"Vakhtang","family":"Tchantchaleishvili","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard T.","family":"Massey","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000000344"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2018.08.001"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000000709"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivz322"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/aor.14525"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/imi.0000000000000285"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.11.121"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.12888"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/aor.13502"}],"container-title":["Artificial Organs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aor.14853","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aor.14853","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aor.14853","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:30:01Z","timestamp":1773012601000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aor.14853"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,30]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/aor.14853"],"URL":"https:\/\/doi.org\/10.1111\/aor.14853","archive":["Portico"],"relation":{},"ISSN":["0160-564X","1525-1594"],"issn-type":[{"value":"0160-564X","type":"print"},{"value":"1525-1594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,30]]},"assertion":[{"value":"2024-02-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}