The use of ventricular assist device support in children: the state of the art

Christopher E Mascio1

  • 1Pediatric Cardiothoracic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Artificial Organs
|January 29, 2015
PubMed

Insights

Pediatric ventricular assist devices are crucial for congenital heart disease patients. The PumpKIN Trial will compare the Berlin Heart EXCOR to the Infant Jarvik 2000, addressing critical needs in pediatric mechanical support.

Area of Science:

  • Pediatric cardiology
  • Mechanical circulatory support
  • Congenital heart disease

Background:

  • Improved survival in congenital heart disease leads to more pediatric patients with ventricular dysfunction.
  • Pediatric mechanical support devices have lagged behind adult innovations.
  • Existing options like extracorporeal membrane oxygenation are unsuitable for long-term pediatric support.

Purpose of the Study:

  • To compare the efficacy and safety of the Berlin Heart EXCOR versus the Infant Jarvik 2000 in pediatric patients.
  • To address the challenges in mechanical support for the single ventricle population.

Main Methods:

  • Prospective, randomized study design (PumpKIN Trial).
  • Comparison of the Berlin Heart EXCOR (paracorporeal device) with the Infant Jarvik 2000.
  • Focus on a challenging pediatric population with unique anatomical and physiological considerations.

Main Results:

  • Data on pediatric ventricular assist device use, particularly in single ventricle patients, are currently anecdotal.
  • Mortality rates in this specific population remain high.
  • A dedicated registry has been established to improve care and data collection.

Conclusions:

  • The development of pediatric-specific ventricular assist devices is critical.
  • The PumpKIN Trial aims to provide crucial data for optimizing mechanical support in pediatric heart failure.
  • Further research and data collection through registries are essential for improving outcomes in single ventricle patients requiring mechanical support.

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