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Pediatric mechanical circulatory support in the United States: past, present, and future

Brian W Duncan1

  • 1Department of Pediatric and Congenital Heart Surgery, Children's Hospital, Cleveland Clinic, Cleveland, Ohio 44195, USA.

ASAIO Journal (American Society for Artificial Internal Organs : 1992)
|September 13, 2006
PubMed

Insights

Pediatric mechanical circulatory support options are expanding, offering new hope for children with heart failure. Advances in devices like the DeBakey VAD Child and Berlin Heart VAD improve treatment for pediatric heart conditions.

Area of Science:

  • Pediatric Cardiology
  • Biomedical Engineering
  • Cardiovascular Surgery

Background:

  • Mechanical circulatory support is standard for adult heart failure.
  • Limited options historically existed for pediatric heart failure.
  • Extracorporeal membrane oxygenation and centrifugal pumps were primary pediatric modalities.

Purpose of the Study:

  • To review recent advances in pediatric mechanical circulatory support.
  • To highlight the growing availability of devices for children.
  • To discuss promising future innovations in the field.

Main Methods:

  • Review of current pediatric mechanical circulatory support devices.
  • Analysis of clinical experience with specific VADs (Ventricular Assist Devices).
  • Discussion of research and development initiatives.

Main Results:

  • Substantial advances in pediatric circulatory support devices have occurred.
  • Increased clinical experience with DeBakey VAD Child and Berlin Heart VAD.
  • New devices are under development through NHLBI's Pediatric Circulatory Support Program.

Conclusions:

  • Pediatric mechanical circulatory support options have significantly improved.
  • Current devices offer better solutions for children with heart failure.
  • Future innovations promise expanded choices for pediatric mechanical circulatory support.

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