Evidence map›Paper›PMID 30354560›Full record

ArticleCirculation. Heart failure2018

Abdominal Positioning of the Next-Generation Intra-Aortic Fluid Entrainment Pump (Aortix) Improves Cardiac Output in a Swine Model of Heart Failure.

Shiva K Annamalai, Michele L Esposito, Lara A Reyelt, Peter Natov, Lena E Jorde, Richard H Karas, Navin K Kapur

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Circulation. Heart failure, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.8field-weighted citation impact, top 29% of its field
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

14 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Contemporary overview of current percutaneous mechanical circulatory support devices for advanced heart failure: a narrative review.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026
    Review
  3. Article
  4. Percutaneous intravascular micro-axial blood pump: current state and perspective from engineering view.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2024
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. First-in-human experience with occlusion of the superior vena cava to reduce cardiac filling pressures in congestive heart failure.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2019
    Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Shiva K AnnamalaiThe Acute Mechanical Circulatory Support Working Group; The Molecular Cardiology Research Institute, Surgical and Interventional Research Laboratories, and the CardioVascular Center, Tufts Medical Center, Boston, MA.
Michele L EspositoThe Acute Mechanical Circulatory Support Working Group; The Molecular Cardiology Research Institute, Surgical and Interventional Research Laboratories, and the CardioVascular Center, Tufts Medical Center, Boston, MA.
Lara A ReyeltThe Acute Mechanical Circulatory Support Working Group; The Molecular Cardiology Research Institute, Surgical and Interventional Research Laboratories, and the CardioVascular Center, Tufts Medical Center, Boston, MA.
Peter NatovThe Acute Mechanical Circulatory Support Working Group; The Molecular Cardiology Research Institute, Surgical and Interventional Research Laboratories, and the CardioVascular Center, Tufts Medical Center, Boston, MA.
Lena E JordeThe Acute Mechanical Circulatory Support Working Group; The Molecular Cardiology Research Institute, Surgical and Interventional Research Laboratories, and the CardioVascular Center, Tufts Medical Center, Boston, MA.
Richard H KarasThe Acute Mechanical Circulatory Support Working Group; The Molecular Cardiology Research Institute, Surgical and Interventional Research Laboratories, and the CardioVascular Center, Tufts Medical Center, Boston, MA.
Navin K KapurThe Acute Mechanical Circulatory Support Working Group; The Molecular Cardiology Research Institute, Surgical and Interventional Research Laboratories, and the CardioVascular Center, Tufts Medical Center, Boston, MA.
Circulatory Technology (United States) · US

Funding

Mechanical Unloading and Delayed Reperfusion Promotes Myocardial Recovery after Acute Myocardial InfarctionR01HL139785 · NHLBI · TUFTS MEDICAL CENTER · PI KAPUR, NAVIN KUMAR · 2018 to 2021
$2.9M
NHLBI NIH HHS R01 HL139785
6 · The paper itself

Abstract

backgroundAcute heart failure refractory to medical therapy is a major cause of morbidity and mortality. The Aortix device (Procyrion Inc) is a percutaneously delivered entrainment pump positioned in the descending aorta. METHODS AND

resultsUsing the newest generation Aortix device in 8 adult male Yorkshire swine, we tested the hypothesis that positioning in the abdominal aorta may provide superior hemodynamic effects than thoracic positioning in a swine model of postinfarct left ventricular injury.Abdominal activation generated significantly larger transaortic gradients (proximal minus distal mean aortic pressures) than thoracic positioning at all pump speeds. Compared with baseline values, activation in the abdominal, not thoracic, position significantly increased cardiac output, reduced arterial elastance, and systemic vascular resistance at low speeds. Compared with baseline values, abdominal activation also increased transpulmonary pressure gradients at medium and high speed, which was driven by trends toward higher mean pulmonary artery pressure and lower pulmonary capillary wedge pressure.

conclusionsThis is the first report to determine that in contrast to thoracic positioning, abdominal positioning of the newest generation Aortix device reduces left ventricular afterload and increases cardiac output at low speeds. These findings have potentially important implications for the design of early clinical studies by suggesting that device position and speed are major determinants of improved hemodynamic efficacy.

Indexed as

Cardiac OutputHeart-Assist DevicesVentricular Function, LeftAnimalsAorta, AbdominalAorta, ThoracicArterial PressureDisease Models, AnimalHeart FailureMaleProsthesis DesignProsthesis ImplantationRecovery of FunctionSus scrofaTime Factorscardiac outputheart failurehemodynamicspulmonary arteryvascular resistance

Identifiers

PMID30354560
PMCPMC6203333
OpenAlexW2891587392

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.