{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T18:22:25Z","timestamp":1788459745081,"version":"build-2803163510"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":["Int J Artif Organs"],"abstract":"\n Background:<\/jats:title>\n The withdrawal of the HeartWare HVAD required pediatric mechanical circulatory support programs to transition to alternative durable intracorporeal devices. We evaluated our single-center experience across the HVAD and HeartMate 3 (HM3) eras.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n We retrospectively reviewed all pediatric patients who underwent primary durable intracorporeal LVAD implantation between January 2012 and December 2024. Clinical characteristics, perioperative outcomes, survival on support, bridge-to-transplantation, and device-related adverse events were compared.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Thirty-four patients were included: 22 received HVAD and 12 received HM3. Baseline characteristics were generally comparable. Cardiopulmonary bypass time was significantly longer in the HM3 group (\n p<\/jats:italic>\n \u2009<\u20090.001). Median support duration was longer with HVAD (1002 vs 838\u2009days;\n p<\/jats:italic>\n \u2009=\u20090.304). Survival on LVAD support did not differ between groups (log-rank\n p<\/jats:italic>\n \u2009=\u20090.375). Pump thrombosis (40.9% vs 0%;\n p<\/jats:italic>\n \u2009=\u20090.013) and ischemic stroke (27.3% vs 0%;\n p<\/jats:italic>\n \u2009=\u20090.069) occurred only in HVAD recipients, whereas infectious complications were comparable between groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n HM3 appears to be a feasible intracorporeal long-term support option for selected pediatric patients in the post-HVAD era. Longer-term multicenter pediatric studies are needed to define durability, late complications, and optimal patient selection.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/03913988261480648","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:06:00Z","timestamp":1788278760000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric intracorporeal LVAD support in the transition from HVAD to HeartMate 3"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6761-2122","authenticated-orcid":false,"given":"Sedat","family":"Karaca","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Sanliurfa Research and Training Hospital, Sanliurfa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osman Nuri","family":"Tuncer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00dcmit","family":"Kahraman","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilek","family":"Erdinli","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eser","family":"Do\u011fan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Ege University Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zulal Ulger","family":"Tutar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Ege University Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cagatay","family":"Engin","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuksel","family":"Atay","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahir","family":"Yagdi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Ozbaran","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.09.003"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcdd10080351"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2016.01.019"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhlto.2024.100064"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.2211"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2020.02.007"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.12.013"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/aor.12989"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2018.03.003"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001538"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001373"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezaa132"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0335841"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2024.12.020"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm15031094"}],"container-title":["The International Journal of Artificial 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