The role of ventricular assist device in children

被引:8
|
作者
Delmo, Eva Maria Javier [1 ]
Javier, Mariano Francisco del Maria [2 ]
Hetzer, Roland [2 ]
机构
[1] Univ Med Berlin Charite, Charite Res Org, Virchowweg 10, D-10117 Berlin, Germany
[2] Cardio Ctr Berlin, Dept Cardiothorac & Vasc Surg, Berlin, Germany
关键词
Congenital heart disease; heart failure (HF); heart transplantation; myocardial recovery; ventricular assist device (VAD); MECHANICAL CIRCULATORY SUPPORT; EXTRACORPOREAL MEMBRANE-OXYGENATION; PEDIATRIC HEART-TRANSPLANTATION; CARDIAC TRANSPLANTATION; POSTTRANSPLANT OUTCOMES; PROSPECTIVE TRIAL; BRIDGE; IMPLANTATION; RECOVERY; SENSITIZATION;
D O I
10.21037/cdt-20-282
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The first and successful implantation of a ventricular assist device in 1990 has allowed an 8-year-old child with an end-stage heart failure to undergo a heart transplantation. This milestone paved the way to consider support with ventricular assist in the armamentarium of heart failure management in infants, children and adolescents. Several systems have evolved and faded owing to unacceptable complications. Indications and contraindications to implantation have been established. Anticoagulation management is still on its way to impeccability. Despite the challenges, issues and concerns revolving around ventricular assist devices, the system definitely supports pediatric patients with end-stage heart failure until heart transplantation and could allow recovery of the myocardium.
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页码:193 / 201
页数:9
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