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At 2 years, pump thrombosis was not significantly different between the two groups, with OR 0.43, 95% CI 0.06-3.29; P = .42. However, pump replacement was significantly higher with the axial continuous-flow pump with OR 0.36, 95% CI 0.15-0.84; P = .02. Stroke, sepsis and bleeding events were not significantly different. In addition, outcomes such as right heart failure, cardiac arrhythmia, the need for right ventricular assisted device, respiratory failure, renal failure and hepatic dysfunction were also not significantly different. CONCL