{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:08:31Z","timestamp":1791216511556,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T00:00:00Z","timestamp":1742428800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T00:00:00Z","timestamp":1742428800000},"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":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A significant number of (left ventricular assist device) LVAD patients (pts) have hemodynamic\u2010related adverse events requiring right heart catheterization (RHC). Venous and lung ultrasound is an established method for evaluating congestion in heart failure pts. This study aimed to investigate the role of these ultrasound parameters in the hemodynamic assessment of LVAD pts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>RHC and complete echocardiography were performed on 50 consecutive LVAD pts, 12 of whom were the validation cohort. Pts were stratified based on right atrial pressure (RAP)\u2009\u2265\u20097\u2009mmHg and pulmonary capillary wedge pressure (PCWP)\u2009&gt;\u200915\u2009mmHg.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median LVAD follow\u2010up time was 400 (209\u2013900) days. Baseline characteristics were similar between high vs. normal RAP groups, except for NYHA class and renal function in the former group. High vs. normal PCWP showed a greater NYHA class and a furosemide dose. All hemodynamic parameters were significantly different in the high RAP group except for cardiac output (CO) and cardiac index (CI). In contrast, in the high PCWP group, no differences in CO, CI, and pulmonary vascular resistances were apparent. The most accurate non\u2010invasive variable for detecting high RAP was renal venous stasis index (RVSI), receiver\u2010operating characteristic curves for areas under the curve (AUC), 0.78 (95% CI, 0.62\u20130.93). Estimated left atrial pressure (LAP\u2010eRAP) was the most accurate non\u2010invasive value to discriminate high PCWP (AUC 0.85 95% CI 0.73\u20130.98).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study found a good correlation between RAP, PWCP, and non\u2010invasive parameters, such as RVSI and LAP\u2010eRAP, suggesting the importance of peripheral venous ultrasound in LVAD patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aor.14985","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T03:27:27Z","timestamp":1742441247000},"page":"1171-1184","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Ultrasound Assessment of Venous and Pulmonary Congestion in Left Ventricular Assist Devices Patients"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0347-6672","authenticated-orcid":false,"given":"Attilio","family":"Iacovoni","sequence":"first","affiliation":[{"name":"Cardiovascular Department Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cinzia","family":"Giaccherini","sequence":"additional","affiliation":[{"name":"FROM Research Foundation E.T.S. Papa Giovanni XXIII Hospital  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Paris","sequence":"additional","affiliation":[{"name":"Institute of Cardiology ASST Spedali Civili di Brescia  Brescia Italy"},{"name":"Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia  Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Abete","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Vittori","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo Maria","family":"Inciardi","sequence":"additional","affiliation":[{"name":"Institute of Cardiology ASST Spedali Civili di Brescia  Brescia Italy"},{"name":"Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia  Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0564-7578","authenticated-orcid":false,"given":"Ottavio","family":"Zucchetti","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amedeo","family":"Terzi","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Senni","sequence":"additional","affiliation":[{"name":"Cardiovascular 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