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Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
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Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

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Pediatric Ventricular Assist Device

Yu Rim Shin1, Young Hwan Park1, Han Ki Park2

  • 1Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.

Korean Circulation Journal
|July 27, 2019
PubMed

Insights

Ventricular assist devices (VADs) offer improved outcomes for pediatric heart failure patients awaiting transplants. Careful patient selection and device choice are crucial for successful VAD therapy and better post-transplant results.

Area of Science:

  • Pediatric cardiology
  • Cardiovascular surgery
  • Biomedical engineering

Background:

  • Advanced heart failure in children necessitates advanced treatment options.
  • Ventricular assist devices (VADs) are increasingly utilized for pediatric patients.
  • VADs can bridge patients to heart transplantation, improving their condition.

Purpose of the Study:

  • To review the advancements and outcomes of VAD therapy in pediatric patients.
  • To highlight the benefits of VAD support on heart failure symptoms and post-transplant results.
  • To identify critical factors influencing outcomes in pediatric VAD recipients.

Main Methods:

  • Review of current literature on pediatric VAD implantation and outcomes.
  • Analysis of the impact of continuous flow and paracorporeal pulsatile devices.
  • Identification of risk factors associated with VAD support in young patients.

Main Results:

  • Miniaturized continuous flow VADs show promising results in pediatric patients.
  • Paracorporeal pulsatile devices remain the option for infants and small children.
  • Factors like younger age, congenital heart disease, and end-organ dysfunction are linked to poorer outcomes.

Conclusions:

  • VAD therapy significantly improves the condition of pediatric heart failure patients.
  • Optimal patient selection, precise timing of implantation, and appropriate device choice are paramount.
  • VAD support positively influences post-transplant outcomes in pediatric recipients.

Keywords:
Cardiac transplantationExtracorporeal membranous oxygenationHeart failurePediatricVentricular assist device

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