{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T13:17:03Z","timestamp":1783343823903,"version":"3.54.6"},"reference-count":10,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Two pediatric patients with dilated cardiomyopathy and end-stage heart failure (ESHF) were bridged with extracorporeal devices to heart transplant (HTx).<\/jats:p>\n                  <jats:p>A 6-year-old boy received veno-arterial extracorporeal membrane oxygenation (V-A ECMO) support with left ventricular unloading via subclavian drainage and later conversion to a hybrid configuration involving left and right ventricular assist devices (LVAD and RVAD) for 8\u00a0days. After HTx, acute kidney injury and hemorrhagic stroke occurred.<\/jats:p>\n                  <jats:p>A 12-year-old girl with recurrent cardiac arrests underwent emergency LVAD implantation (EXCOR\u00ae Active) for 6\u00a0h for bridging to HTx. She received 4\u00a0days of V-A ECMO support due to early primary graft dysfunction (PGD) and 9\u00a0days of continuous renal replacement therapy. Both children recovered with favorable outcomes.<\/jats:p>\n                  <jats:p>These patients demonstrate that bridging to HTx in ESHF is feasible even under resource-limited wartime conditions. Adaptability in ECMO and the unloading configuration can overcome severe logistical and technological limitations.<\/jats:p>","DOI":"10.1177\/02676591261423012","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T06:23:32Z","timestamp":1780727012000},"page":"775-779","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Against all odds: Mechanical circulatory support as a bridge to pediatric heart transplant"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7538-2443","authenticated-orcid":false,"given":"Stepan","family":"Maruniak","sequence":"first","affiliation":[{"name":"Department of Extracorporeal Methods of Treatment, Heart Institute Ministry of Health of Ukraine"},{"name":"Department of Cardiosurgery, X-ray and Extracorporeal Technologies, PL Shupyk National Healthcare University of Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4094-7114","authenticated-orcid":false,"given":"Oleh","family":"Loskutov","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Heart Institute Ministry of Health of Ukraine, Kyiv, Ukraine"},{"name":"Department of Anesthrsiology and Intensive Care, PL Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Havrylo","family":"Kovtun","sequence":"additional","affiliation":[{"name":"Department of Myocardial Pathology and Organ and Tissue Transplantation, Heart Institute Ministry of Health of Ukraine, Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serhii","family":"Sudakevych","sequence":"additional","affiliation":[{"name":"Department of Extracorporeal Methods of Treatment, Heart Institute Ministry of Health of Ukraine"},{"name":"Department of Cardiosurgery, X-ray and Extracorporeal Technologies, PL Shupyk National Healthcare University of Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daryna","family":"Tkachenko","sequence":"additional","affiliation":[{"name":"Department of Cardiosurgery, X-ray and Extracorporeal Technologies, PL Shupyk National Healthcare University of Ukraine"},{"name":"Department of Anesthesiology, Heart Institute Ministry of Health of Ukraine, Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2903-092X","authenticated-orcid":false,"given":"Justyna","family":"Swol","sequence":"additional","affiliation":[{"name":"Paracelsus Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6647-4469","authenticated-orcid":false,"given":"Borys","family":"Todurov","sequence":"additional","affiliation":[{"name":"Department of Cardiosurgery, X-ray and Extracorporeal Technologies, PL Shupyk National Healthcare University of Ukraine"},{"name":"Department of Ischemic Heart Disease, Heart Institute Ministry of Health of Ukraine, Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2015.01.006"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.114.001553"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.04.072"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-023-05318-0"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.21037\/acs-2020-cfmcs-18"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10741-024-10396-9"},{"key":"e_1_3_3_8_2","unstructured":"Ministry of Health of Ukraine. Three years of full-scale war in numbers: russians damaged 1 984 and destroyed another 301 medical facilities in Ukraine. https:\/\/moz.gov.ua\/en\/three-years-of-full-scale-war-in-numbers-russians-damaged-1984-and-destroyed-another-301-medical-facilities-in-ukraine (2025 accessed 10 October 2025)."},{"key":"e_1_3_3_9_2","unstructured":"Ministry of Health of Ukraine. Russians hit two children\u2019s hospitals in Kyiv. https:\/\/moz.gov.ua\/en\/russians-hit-two-children-s-hospitals-in-kyiv (2024 accessed 10 October 2025)."},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.815712"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivt119"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591261423012","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591261423012","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591261423012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T12:29:22Z","timestamp":1783340962000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591261423012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,5]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/02676591261423012"],"URL":"https:\/\/doi.org\/10.1177\/02676591261423012","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,5]]}}}