{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:52:45Z","timestamp":1791273165275,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Evidence for temporary right ventricular assist devices (tRVADs) is fragmented. We characterized outcomes among adults receiving temporary support for acute right ventricular (RV) failure or RV\u2010predominant cardiogenic shock.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      MEDLINE, Embase, CENTRAL, and\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      were searched from inception to June 2026. Arm\u2010level outcome proportions were pooled on the logit scale using three\u2010level random\u2010effects models, with arms nested within studies. Device\u2010stratified estimates, meta\u2010regression, and sensitivity analyses were examined.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included 106 studies (119 device arms; 4653 patients), including 57 conference\u2010abstract studies (53.8%). Concurrent left\u2010sided support was reported in 85.8% of patients with available data; post\u2010LVAD RV failure predominated in 47.5% of arms. Separately pooled survival to discharge was 60.4% (95% CI 56.0\u201364.7; 63 arms), successful weaning 60.6% (54.8\u201366.2; 68 arms), and 30\u2010day mortality 30.1% (24.1\u201336.9; 31 arms). The survival prediction interval was wide (34.4%\u201381.6%). Pooled bleeding, renal complications (acute kidney injury and\/or renal replacement therapy, as reported), and stroke were 36.5%, 46.6%, and 14.5%, respectively. Device\u2010stratified estimates were vulnerable to confounding. No meta\u2010regression association remained significant after multiplicity correction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These descriptive estimates characterize selected, heterogeneous treated cohorts, predominantly receiving left\u2010sided or biventricular support; they do not establish treatment benefit or comparative device effectiveness. Complication rates were high. Applicability to isolated primary RV shock is limited. Standardized prospective data are needed to inform patient selection, timing, and device strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>PROSPERO registration number: CRD420261406088<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aor.70256","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:21:57Z","timestamp":1791271317000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Temporary Right Ventricular Mechanical Circulatory Support Devices in Acute Right Ventricular Failure and Cardiogenic Shock: A Cross\u2010Device Systematic Review and Single\u2010Arm Meta\u2010Analysis"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8312-2895","authenticated-orcid":false,"given":"Hussein","family":"Elghazaly","sequence":"first","affiliation":[{"name":"Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust  London UK"},{"name":"William Harvey Research Institute, Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8346-1779","authenticated-orcid":false,"given":"Omar","family":"Naeim","sequence":"additional","affiliation":[{"name":"East Kent Hospitals University NHS Foundation Trust  Canterbury UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Collins","sequence":"additional","affiliation":[{"name":"East Kent Hospitals University NHS Foundation Trust  Canterbury UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1653-2362","authenticated-orcid":false,"given":"Mohamed","family":"Abouegla","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Alexandria University  Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1211-0852","authenticated-orcid":false,"given":"Omar","family":"Elsiraffy","sequence":"additional","affiliation":[{"name":"East Kent Hospitals University NHS Foundation Trust  Canterbury UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Yusuf","family":"Maududi","sequence":"additional","affiliation":[{"name":"Bedfordshire Hospitals NHS Foundation Trust  Bedford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"issue":"20","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"e578","DOI":"10.1161\/CIR.0000000000000560","article-title":"Evaluation and Management of Right\u2010Sided Heart Failure: A Scientific Statement From the American Heart Association","volume":"137","author":"Konstam M. 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