Evidence map›Paper›PMID 42381948›Full record

ArticleJTCVS open2026

The changing landscape of temporary mechanical circulatory support devices in the new heart allocation system: A US nationwide analysis.

Koray N Potel, Sean Nguyen, Nolan McLaughlin, Emma Schaffer, Stephen J Huddleston, Rosemary F Kelly, Ranjit John, Andrew Shaffer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JTCVS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Koray N PotelDivision of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minn.
Sean NguyenDivision of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minn.
Nolan McLaughlinDivision of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minn.
Emma SchafferDivision of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minn.
Stephen J HuddlestonDivision of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minn.
Rosemary F KellyDivision of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minn.
Ranjit JohnDivision of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minn.
Andrew ShafferDivision of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The 2018 change in the US heart transplant allocation system was associated with a significant increase in the use of short-term mechanical circulatory support. Using a large national database, we aimed to analyze changes in mechanical circulatory support device use and clinical outcomes after the allocation change. Methods: According to the United Network for Organ Sharing database, 5325 adult patients were identified who underwent heart transplantation in 2019 or 2024 (2019: n = 2226; 2024: n = 3099). Mechanical circulatory support type at registration and transplant, patient demographics, and 90-day unadjusted and adjusted survival were compared between the groups. Results: Compared with 2019, patients being registered for heart transplantation in 2024 were more likely to have an Impella device (26.4% vs 3.3%, Conclusions: Since the adoption of the new allocation system, there has been a dramatic increase in the use of Impella devices. Overall and device-specific survival remain unchanged.

Indexed as

ECMOheart transplantationIABPImpellamechanical circulatory supportventricular assist device

Identifiers

PMID42381948
PMCPMC13316335

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.