Evidence map›Paper›PMID 31100109›Full record

ArticleEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2019

2019 EACTS Expert Consensus on long-term mechanical circulatory support.

Evgenij V Potapov, Christiaan Antonides, Maria G Crespo-Leiro, Alain Combes, Gloria Färber, Margaret M Hannan, Marian Kukucka, Nicolaas de Jonge, Antonio Loforte, Lars H Lund and 10 more

Registry-linked trialAbstract readConsensus Statement
In one paragraph

Article in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06690567 (Clinical Outcomes of Contemporary IMPELLA Devices in Cardiogenic Shock and High-risk Percutaneous Coronary Intervention), which is not on this map. Cited by 147 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed, 5 pooled it
–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.

NCT06690567 unknown statusnot on this mapstarted 2024, after this paper: background citation

Clinical Outcomes of Contemporary IMPELLA Devices in Cardiogenic Shock and High-risk Percutaneous Coronary Intervention

Typeobservational_patient_registrySponsorA.O.U. Città della Salute e della ScienzaRan2024 to 2024Enrolled700ConditionsCardiogenic Shock, PCI Patients, Mechanical Circulatory SupportArmsImpella implantation
3 · Its place in the literature

Who cites it

147 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Big Data in cardiac surgery: real world and perspectives.Journal of cardiothoracic surgery · 2022
    Pooled it
  4. Driveline exit-site care protocols in patients with left ventricular assist devices: a systematic review.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2021
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  15. Early clinical outcomes and quality of life assessment after HeartMate 3 implantation: A single-centre descriptive study.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026
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87 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

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

20 authors.

Evgenij V PotapovDepartment of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Germany; DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Germany.
Christiaan AntonidesDepartment of Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, Netherlands.
Maria G Crespo-LeiroComplexo Hospitalario Universitario A Coruña (CHUAC), Instituto de Investigación Biomédica de A Coruña (INIBIC), CIBERCV, UDC, La Coruña, Spain.
Alain CombesSorbonne Université, INSERM, Institute of Cardiometabolism and Nutrition, Paris, France.
Gloria FärberDepartment of Cardiothoracic Surgery, Jena University Hospital, Friedrich-Schiller-University of Jena, Jena, Germany.
Margaret M HannanDepartment of Medical Microbiology, University College of Dublin, Dublin, Ireland.
Marian KukuckaDepartment of Anaesthesiology, German Heart Center Berlin, Berlin, Germany.
Nicolaas de JongeDepartment of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands.
Antonio LoforteDepartment of Cardiothoracic, S. Orsola Hospital, Transplantation and Vascular Surgery, University of Bologna, Bologna, Italy.
Lars H LundDepartment of Medicine Karolinska Institute, Heart and Vascular Theme, Karolinska University Hospital, Solna, Sweden.
Paul MohacsiDepartment of Cardiovascular Surgery Swiss Cardiovascular Center, Inselspital, Bern University Hospital, Bern, Switzerland.
Michiel MorshuisClinic for Thoracic and Cardiovascular Surgery, Herz- und Diabeteszentrum Nordrhein-Westfalen, Bad Oeynhausen, Germany.
Ivan NetukaInstitute for Clinical and Experimental Medicine (IKEM), Prague, Czech Republic.
Mustafa ÖzbaranDepartment of Cardiovascular Surgery, Ege University, Izmir, Turkey.
Federico PappalardoAdvanced Heart Failure and Mechanical Circulatory Support Program, Cardiac Intensive Care, San Raffaele Hospital, Vita Salute University, Milan, Italy.
Anna Mara ScandroglioDepartment of Anesthesia and Intensive Care, San Raffaele Hospital, Vita Salute University, Milan, Italy.
Martin SchweigerDepartment of Congenital Pediatric Surgery, Zurich Children's Hospital, Zurich, Switzerland.
Steven TsuiRoyal Papworth Hospital, Cambridge, United Kingdom.
Daniel ZimpferDepartment of Surgery, Division of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.
Finn GustafssonDepartment of Cardiology, Rigshospitalet, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long-term mechanical circulatory support (LT-MCS) is an important treatment modality for patients with severe heart failure. Different devices are available, and many-sometimes contradictory-observations regarding patient selection, surgical techniques, perioperative management and follow-up have been published. With the growing expertise in this field, the European Association for Cardio-Thoracic Surgery (EACTS) recognized a need for a structured multidisciplinary consensus about the approach to patients with LT-MCS. However, the evidence published so far is insufficient to allow for generation of meaningful guidelines complying with EACTS requirements. Instead, the EACTS presents an expert opinion in the LT-MCS field. This expert opinion addresses patient evaluation and preoperative optimization as well as management of cardiac and non-cardiac comorbidities. Further, extensive operative implantation techniques are summarized and evaluated by leading experts, depending on both patient characteristics and device selection. The faculty recognized that postoperative management is multidisciplinary and includes aspects of intensive care unit stay, rehabilitation, ambulatory care, myocardial recovery and end-of-life care and mirrored this fact in this paper. Additionally, the opinions of experts on diagnosis and management of adverse events including bleeding, cerebrovascular accidents and device malfunction are presented. In this expert consensus, the evidence for the complete management from patient selection to end-of-life care is carefully reviewed with the aim of guiding clinicians in optimizing management of patients considered for or supported by an LT-MCS device.

Indexed as

Heart-Assist DevicesCardiac Surgical ProceduresHeart FailureHumansPerioperative CarePostoperative ComplicationsProsthesis ImplantationExpert consensusHeart failureLeft ventricular assist devicesMechanical circulatory support

Identifiers

PMID31100109
PMCPMC6640909

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Registered trials

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.