Pediatric ventricular assist devices |
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| Authors: | Andrew J. Lodge Alexis G. Antunez Robert D.B. Jaquiss |
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| Affiliation: | 1. Mount Sinai, Icahn School of Medicine, New York, United States;2. Children''s Hospital Boston, MA, United States;3. Texas Children''s Hospital, United States;4. Childrens National, DC, United States;5. Children''s Hospital of New York, United States;6. Seattle Children''s Hospital, United States;7. Lurie Childrens Hospital, United States;8. Rady''s Childrens Hospital, San Diego, United States;9. UCLA, United States;10. Pediatrics University of Minnesota, Minneapolis, MN, United States;11. Pediatric and Adult Congenital Electrophysiology, Pediatrics and Internal Medicine Medical, Pediatric Heart Center and Pediatric Electrophysiology, Pediatric Cardiology Fellowship and Adult Congenital Fellowship, University of Virginia, United States;12. Stead Family Department of Pediatrics University of Iowa Children''s Hospital;13. Competency Based Assessment American Board of Pediatrics, 111 Silver Cedar Court, Chapel Hill, NC 27514, United States |
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| Abstract: | End stage heart failure is a growing problem in the pediatric population. These patients are conventionally managed with a combination of oral and intravenous medications. When these fail, mechanical circulatory support is indicated. Improvements in technology have made options for mechanical circulatory support available to infants and children. These devices may be indicated as a bridge to recovery of the native heart function, or, more commonly as a bridge to transplant. Particularly in small patients, extracorporeal life support (ECMO) has been historically used for this purpose. In some cases, adult ventricular assist devices have been used in older children. At the current time, there are devices in clinical use or being developed that will further improve the care and outcomes of these patients. In this article, the indications, implementation, and results of pediatric ventricular assist devices are presented. |
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