{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T14:42:48Z","timestamp":1780324968603,"version":"3.54.1"},"reference-count":35,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T00:00:00Z","timestamp":1692835200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>We investigated the effects of pre\u2010transplantation renal dysfunction under left ventricular assisted device (LVAD) support on post\u2010transplantation cardiac function, and patient prognosis after heart transplantation (HTx).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>All patients who were bridged by LVAD and underwent HTx at our hospital between 2007 and 2022 were included in this study. Patients were classified into two groups based on estimated glomerular filtration rate (eGFR) before HTx: renal dysfunction (RD) group (eGFR\u00a0&lt;\u00a060\u00a0mL\/min\/1.73\u00a0m<jats:sup>2<\/jats:sup>) and non\u2010renal dysfunction (NRD) group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>A total of 132 patients were analyzed, of whom 48 were classified into the RD group and 84 into the NRD group (RD group, 47.9\u00a0\u00b1\u00a010.1\u00a0years; NRD group, 38.4\u00a0\u00b1\u00a011.9\u00a0years, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.0001). Under LVAD support before HTx, the RD group tended to have a history of right ventricular failure (RD group, nine (19%); NRD group, seven (8%); <jats:italic>p<\/jats:italic>\u00a0=\u00a0.098). After HTx, the echocardiographic parameters did not differ between the two groups in the long term. Furthermore, more concise hemodynamic parameters, exemplified by right heart catheterization, were not significantly different between the two groups. Regarding graft rejection, no significant differences were found\u00a0in acute cellular rejection and cardiac allograft vasculopathy following HTx. In contrast, patients with RD before HTx had significantly increased mortality in the chronic phase after HTx and initiation of maintenance dialysis, without any overt changes in cardiac function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pre\u2010transplantation renal dysfunction under LVAD support significantly affected clinical course after HTx without any overt changes in graft cardiac function.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.15107","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T14:34:09Z","timestamp":1692887649000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of renal function under left ventricular assist device support on the cardiac function and clinical events after heart transplantation"],"prefix":"10.1111","volume":"37","author":[{"given":"Nobutaka","family":"Kakuda","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Graduate School of Medicine The University of Tokyo  Bunkyo\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2810-8040","authenticated-orcid":false,"given":"Eisuke","family":"Amiya","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Graduate School of Medicine The University of Tokyo  Bunkyo\u2010ku Tokyo Japan"},{"name":"Department of Therapeutic Strategy for Heart Failure Graduate School of Medicine The University of Tokyo  Bunkyo\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaru","family":"Hatano","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Graduate School of Medicine The University of Tokyo  Bunkyo\u2010ku Tokyo 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