Evidence map›Paper›PMID 30034848›Full record

ArticleJournal of thoracic disease2018

Left ventricular assist device (LVAD) program in Chile: first successful experience in South America.

Oneglio Pedemonte, Andres Vera, Lorenzo Merello, Manuel Novajas, Fernando Aranda, Julio Ibarra, Jose A Muñoz, Javier Alburquerque, Paulina Espinoza, Felipe Cárdenas and 1 more

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Oneglio PedemonteDepartment of Cardiovascular Surgery, Hospital Gustavo Fricke, Viña del Mar, Chile.
Andres VeraDepartment of Cardiovascular Surgery, Hospital Gustavo Fricke, Viña del Mar, Chile.
Lorenzo MerelloDepartment of Cardiovascular Surgery, Hospital Gustavo Fricke, Viña del Mar, Chile.
Manuel NovajasDepartment of Cardiovascular Surgery, Hospital Gustavo Fricke, Viña del Mar, Chile.
Fernando ArandaDepartment of Cardiovascular Diseases, Universidad de Valparaíso, Valparaíso, Chile.
Julio IbarraDepartment of Cardiovascular Surgery, Hospital Gustavo Fricke, Viña del Mar, Chile.
Jose A MuñozDepartment of Cardiovascular Surgery, Hospital Gustavo Fricke, Viña del Mar, Chile.
Javier AlburquerqueDepartment of Cardiovascular Surgery, Hospital Gustavo Fricke, Viña del Mar, Chile.
Paulina EspinozaDepartment of Cardiovascular Surgery, Hospital Gustavo Fricke, Viña del Mar, Chile.
Felipe CárdenasDepartment of Cardiovascular Diseases, Universidad de Valparaíso, Valparaíso, Chile.
Ernesto Aránguiz-SantanderDepartment of Cardiovascular Surgery, Hospital Gustavo Fricke, Viña del Mar, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe need to have a variety of tools to deal with end-stage heart failure (ES-HF), along with the limited heart transplantation availability encouraged us to create a pilot Left ventricular assist device (LVAD) program in a public health care system hospital in Chile.

methodsA retrospective analysis of the first nine patients of an ongoing LVAD program initiated on August 2013 was performed, completing an average of 30 months of follow-up. The most important events regarding to morbidity and mortality are described.

resultsNine patients with ES-HF underwent LVAD implantation surgery; one of them died 23 days after surgery and another died after 11 months. One patient successfully underwent heart transplantation after 16 months of HeartWare ventricular assist device (HVAD) support; the other six patients remain in the program and have an average follow-up of 846 days at the time of this study (range, 23-1,481 days). The survival rate at 6, 12 and 18 months follow-up was 89%, 78% and 78% respectively.

conclusionsThis new pioneering LVAD program in Chile has been successful and now constitutes a vital adjunct to all who work in heart transplantation and ES-HF programs. It offers an effective therapeutic alternative when there is a severe donor shortage, in cases of atypical blood types, emergencies, exceptional cases with contraindication for heart transplantation or when there is important donor-receiver size mismatch.

Indexed as

descriptive studyend-stage heart failure (ES-HF)HeartWare ventricular assist device (HVAD®)

Identifiers

PMID30034848
PMCPMC6035952

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.