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Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
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Right heart failure considerations in pediatric ventricular assist devices

Sabrina P Law1, David L S Morales2, Ming-Sing Si3

  • 1Morgan Stanley Children's Hospital of New York, New York, NY, USA.

Pediatric Transplantation
|March 5, 2021
PubMed

Insights

Right heart failure after pediatric left ventricular assist device (LVAD) implantation is a significant challenge. This review shares best practices to improve outcomes for children with LVADs.

Area of Science:

  • Pediatric cardiology
  • Mechanical circulatory support
  • Pediatric cardiac surgery

Background:

  • Right heart failure (RHF) complicates pediatric left ventricular assist device (LVAD) implantation.
  • RHF adversely affects transplant eligibility and survival in pediatric patients.
  • Limited pediatric-specific evidence exists to guide RHF management post-LVAD.

Purpose of the Study:

  • To review the current literature on pediatric RHF after LVAD.
  • To describe a harmonized approach to RHF management from the ACTION network.
  • To enhance RHF outcomes by sharing best practices in the pediatric VAD community.

Main Methods:

  • Comprehensive literature review focused on pediatric RHF and LVADs.
  • Synthesis of existing evidence and clinical experience.
  • Description of a consensus-based management strategy.

Main Results:

  • Identified key challenges and risk factors for RHF in pediatric LVAD patients.
  • Outlined a structured approach for anticipation, prevention, and early identification of RHF.
  • Provided guidance on medical and device management strategies for RHF.

Conclusions:

  • Effective management of RHF is crucial for successful pediatric LVAD outcomes.
  • A harmonized, evidence-informed approach can improve RHF care.
  • Sharing best practices across the pediatric VAD community is essential for advancing patient care.

Keywords:
left ventricular assist devicespediatricsright ventricular failureventricular assist devices

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