Pediatric circulatory support systems |
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Authors: | Throckmorton Amy L Allaire Paul E Gutgesell Howard P Matherne Gaynell P Olsen Don B Wood Houston G Allaire Janet H Patel Sonna M |
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Institution: | Biomedical Engineering Department, Virginia Artificial Heart Center, University of Virginia, Charlottesville 22903-2442, USA. |
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Abstract: | Ventricular assist devices (VADs) are a valid option for long term circulatory support in pediatric patients with postoperative myocardial failure or debilitating heart defects. Most clinical experience to date has involved the short-term support of patients weighing 6 kg and larger. For cases of VAD implementation in pediatric patients, the assist device showed tremendous promise in reversing cardiac failure and providing adequate support as a bridge to cardiac transplantation. The Medos-HIA system, Berlin Heart, Medtronic Bio-Medicus Pump, Abiomed BVS 5000, Toyobo-Zeon pumps, and Hemopumps have proven successful for short-term circulatory support for the pediatric population. The Jarvik 2000 and Pierce-Donachy pediatric system further demonstrate the potential to be used for pediatric circulatory support. The clinical and experimental success of these support systems provide encouragement to believe that long-term support is possible. |
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