{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T02:50:16Z","timestamp":1791600616349,"version":"4.3.4"},"reference-count":45,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:00:00Z","timestamp":1740009600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:00:00Z","timestamp":1740009600000},"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":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients with pre\u2010existing severe cardiovascular comorbidities are often deemed ineligible for potentially life\u2010saving thoracic surgeries and are referred to other conservative therapies. However, this patient population may theoretically benefit from the timely perioperative implantation of temporary mechanical circulation support (tMCS) to both mitigate the surgical stress and stabilize hemodynamics. We performed a scoping review to summarize the evidence regarding the use of tMCS in thoracic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a systematic search across PubMed\/MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, Scopus, and Google Scholar from their inception, aided by a search string encompassing a combination of terms for the key research concepts: i) tMCS devices; ii) thoracic surgery procedures (except lung transplantation); and iii) the adult population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen studies pertinent to the research question, which summarized data from 28 patients, were retrieved for inclusion. In 14 patients, tMCS implantation occurred as a \u201cpre\u2010emptive\u201d strategy, while the remaining patients had tMCS implanted either intra and\/or postoperatively as a \u201cbail\u2010out\u201d strategy. Specifically, 14 patients required an intra\u2010aortic balloon pump, 10 veno\u2010arterial extracorporeal membrane oxygenation, two required a multidevice strategy, and one cardiopulmonary bypass. The relative risk analysis revealed that the mortality rate in the pre\u2010emptive group was half that of the bail\u2010out group. Additionally, the risk of both infectious and vascular complications was lower in the pre\u2010emptive group compared to the bail\u2010out tMCS strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We found that the timely implantation of tMCS in thoracic surgery\u2014either to mitigate patients' heightened cardiovascular risk or as a rescue strategy in the event of life\u2010threatening surgical complications\u2014may lead to better patient outcomes, as well as allowing them to undergo curative surgery with an acceptable safety profile, characterized by overall good survival rates and a low incidence of device\u2010related complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aor.14973","type":"journal-article","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:03:57Z","timestamp":1740103437000},"page":"1249-1264","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Perioperative Mechanical Circulatory Support for Cardiac Assistance in Thoracic Surgery: A Scoping Review"],"prefix":"10.1111","volume":"49","author":[{"given":"Viviana Teresa","family":"Agosta","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Intensive Care IRCCS San Raffaele Scientific Institute  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6313-9160","authenticated-orcid":false,"given":"Jacopo","family":"D\u2019Andria Ursoleo","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care IRCCS San Raffaele Scientific Institute  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2428-5394","authenticated-orcid":false,"given":"Alice","family":"Bottussi","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care IRCCS San Raffaele Scientific Institute  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuele","family":"Bugo","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care IRCCS San Raffaele Scientific Institute  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5186-1976","authenticated-orcid":false,"given":"Fabrizio","family":"Monaco","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care IRCCS San Raffaele Scientific Institute  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2024.09.149"},{"issue":"35","key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"2383","DOI":"10.1093\/eurheartj\/ehu285","article-title":"2014 ESC\/ESA Guidelines on Non\u2010cardiac Surgery: Cardiovascular Assessment and Management","volume":"35","author":"Kristensen S.","year":"2014","journal-title":"European Heart Journal"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2021.05.040"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.03.036"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2015.06.010"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2020.12.049"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-20-00167"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-4-1"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.70164"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38178-4"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31821a8af1"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2021.02.025"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.5090\/kjtcs.2011.44.4.294"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-020-01200-4"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjad258"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.21037\/med-20-66"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.07.071"},{"issue":"1","key":"e_1_2_12_20_1","first-page":"48","article-title":"Application of Intra\u2010Aortic Balloon Pump in Resection and Anastomosis of Trachea","volume":"13","author":"Ahmadi Z. H.","year":"2014","journal-title":"Tanaffos"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10047-021-01264-6"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aei544"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0218492318760694"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.02.043"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-23-428"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40560-023-00710-2"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2018.03.031"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1441-2772(23)01792-1"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002502"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001865"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.4103\/aca.ACA_26_19"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2020.109910"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-197501000-00018"},{"issue":"1","key":"e_1_2_12_34_1","first-page":"1","article-title":"Intra\u2010Aortic Balloon Counterpulsation in High\u2010Risk Cardiac Patients Undergoing Noncardiac Surgery","volume":"106","author":"Grotz R. L.","year":"1989","journal-title":"Surgery"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197601000-00015"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1975.01360070116020"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(92)90785-A"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12247755"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11092427"},{"key":"e_1_2_12_40_1","first-page":"11","article-title":"Case Report: Abdominal Surgery With the Support of Impella (SURGELLA), a New Frontier to Be Explored","volume":"4","author":"Guarracini S.","year":"2024","journal-title":"Frontiers in Cardiovascular Medicine"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.12758"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.15778"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2007.173146"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40140-019-00362-9"},{"issue":"4","key":"e_1_2_12_45_1","first-page":"76","article-title":"New Horizons of Non\u2010emergent Use of Extracorporeal Membranous Oxygenator Support","volume":"4","author":"Makdisi G.","year":"2016","journal-title":"Annals of Translational Medicine"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-22-1307"}],"container-title":["Artificial Organs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aor.14973","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aor.14973","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aor.14973","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T02:44:44Z","timestamp":1791600284000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aor.14973"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,20]]},"references-count":45,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1111\/aor.14973"],"URL":"https:\/\/doi.org\/10.1111\/aor.14973","archive":["Portico"],"relation":{},"ISSN":["0160-564X","1525-1594"],"issn-type":[{"value":"0160-564X","type":"print"},{"value":"1525-1594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,20]]},"assertion":[{"value":"2024-10-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}