Evidence map›Paper›PMID 36003565›Full record

ArticleJTCVS open2021

Mechanical circulatory support in pediatric patients with biventricular and univentricular hearts.

Marcus Granegger, Thomas Schlöglhofer, Julia Riebandt, Gerald Schlager, Keso Skhirtladze-Dworschak, Erwin Kitzmüller, Ina Michel-Behnke, Günther Laufer, Daniel Zimpfer

Open access · goldAbstract read
In one paragraph

Article in JTCVS open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 57% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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

9 authors at 2 institutions in 1 country.

Marcus GraneggerDepartment of Cardiac Surgery, Pediatric Heart Center Vienna, Medical University of Vienna, Vienna, Austria.
Thomas SchlöglhoferDepartment of Cardiac Surgery, Pediatric Heart Center Vienna, Medical University of Vienna, Vienna, Austria.
Julia RiebandtDepartment of Cardiac Surgery, Pediatric Heart Center Vienna, Medical University of Vienna, Vienna, Austria.
Gerald SchlagerDivision of Neonatology, Pediatric Intensive Care, and Neuropediatrics, Medical University of Vienna, Vienna, Austria.
Keso Skhirtladze-DworschakDepartment of Anaesthesia, Intensive Care Medicine, and Pain Medicine, Medical University of Vienna, Vienna, Austria.
Erwin KitzmüllerDivision of Pediatric Cardiology, Pediatric Heart Center Vienna, Medical University of Vienna, Vienna, Austria.
Ina Michel-BehnkeDivision of Pediatric Cardiology, Pediatric Heart Center Vienna, Medical University of Vienna, Vienna, Austria.
Günther LauferDepartment of Cardiac Surgery, Pediatric Heart Center Vienna, Medical University of Vienna, Vienna, Austria.
Daniel ZimpferDepartment of Cardiac Surgery, Pediatric Heart Center Vienna, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATLudwig Boltzmann Institute for Cancer Research · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mechanical circulatory support (MCS) in pediatric patients remains challenging because of small body size, limited availability of approved devices, and the variety of etiologies, including biventricular and univentricular physiologies. We report our single-center experience with MCS in pediatric patients in terms of survival and adverse events. Methods: Outcome, etiologic, and demographic data of pediatric patients implanted with a long-term MCS device between 2011 and 2019 at the Medical University of Vienna were retrospectively collected and analyzed. Overall survival and freedom of treatment-related adverse events at 1 year were investigated by Kaplan-Meier analyses and stratified for circulation (biventricular vs univentricular), age group (<6 years vs >6 years), and pump technology (pulsatile ventricular assist device [p-VAD] vs continuous flow pump [cf-VAD]). Results: One-year survival of all 33 pediatric patients (median, 4 years; interquartile range, 0-13 years) was 73%, with a tendency toward better outcomes in patients with biventricular circulation than in those with univentricular circulation (80%; n = 25 vs 50%; n = 8; Conclusions: MCS is a promising therapy for a broad spectrum of pediatric patients, irrespective of heart failure etiology, age, and pump type. With increasing experience, improved devices, and patient selection, MCS may become a valuable treatment option for patients with univentricular hearts.

Indexed as

cf-VAD, continuous-flow ventricular assist deviceIQR, interquartile rangeMCS, mechanical circulatory supportmechanical circulatory supportpediatric patientsp-VAD, pulsatile ventricular assist devicesingle ventricleuniventricular patients

Identifiers

PMID36003565
PMCPMC9390541
OpenAlexW3133783867

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.