Mechanical Circulatory Support Devices Open access Peer reviewed

Clinical differences between destination therapy and bridge-to-transplant left ventricular assist device implantation: a 17-year single-center experience in Japan

Kōichi Inoue, Daisuke Yoshioka, Yusuke Misumi, Ai Kawamura and 5 more

Journal of Artificial Organs | Aug 21, 2026

Abstract

Abstract

The use of left ventricular assist device (LVAD) implantation for destination therapy (DT) has been recently increased worldwide. In 2021, DT was also approved in Japan. Here, we report a single-institution experience of LVAD implantation for DT. This retrospective observational study was conducted at Osaka University Medical Hospital in Japan. Forty patients who underwent LVAD implantation for DT were included. The primary endpoint was on-device survival, and the secondary endpoint was the incidence of LVAD-related complications at five years. The on-device survival rates were 82.3%, 73.3%, and 49.8% at 1, 3, and 5 years, respectively. Most patients (90.6%) experienced rehospitalization during the follow-up period and the most common cause was LVAD-related infection. One-quarter of the patients (10 cases) required LVAD pump exchange, also most commonly due to LVAD-related infection. Comparative analysis with 213 patients who underwent LVAD implantation for bridge to transplant (BTT) revealed no significant change in the primary and secondary outcomes. Our results demonstrate favorable clinical outcomes for LVAD implantation for DT in this Japanese cohort.

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Authors

Researchers on this paper

Kōichi Inoue

first | The University of Osaka | ORCID 0000-0002-5481-569X

Daisuke Yoshioka

middle | The University of Osaka

Yusuke Misumi

middle | The University of Osaka

Ai Kawamura

middle | The University of Osaka

Shin Yajima

middle | The University of Osaka | ORCID 0000-0001-5058-0267

Takuji Kawamura

middle | The University of Osaka

Shunsuke Saito

middle | The University of Osaka

Takashi Yamauchi

middle | The University of Osaka | ORCID 0000-0001-5295-4082

Shigeru Miyagawa

last | The University of Osaka

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Citation

BibTeX

@article{Inoue2026Clinical,
  title = {Clinical differences between destination therapy and bridge-to-transplant left ventricular assist device implantation: a 17-year single-center experience in Japan},
  author = {Kōichi Inoue and Daisuke Yoshioka and Yusuke Misumi and Ai Kawamura and Shin Yajima and Takuji Kawamura and Shunsuke Saito and Takashi Yamauchi and Shigeru Miyagawa},
  journal = {Journal of Artificial Organs},
  year = {2026},
  doi = {10.1007/s10047-026-01581-8},
  url = {https://doi.org/10.1007/s10047-026-01581-8}
}

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