Pediatric ventricular assist devices: Review Pediatrik ventriküler destek cihazlari
Turkiye Klinikleri Cardiovascular Sciences, cilt.22, sa.3, ss.333-343, 2010 (Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 22 Sayı: 3
- Basım Tarihi: 2010
- Dergi Adı: Turkiye Klinikleri Cardiovascular Sciences
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.333-343
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet
Özet
Mechanical circulatory support systems for the treatment of acute and chronic heart failure are now available for use in several clinical situations and are designed for different indications and support times. Ventricular assist device system (VADs) therapy is continuing to evolve in the practice of pediatric cardiac surgery. Although Extracorporeal membrane oxygenator (ECMO) is still the most often applied mechanical support for infants and young children, a broader range of pulsatile, paracorporeal, as well as implantable ventricular assist devices are now available for pediatric application. These systems are preferred for support after cardiac operations and for use in patients who have concomitant respiratory failure, but they are suitable for short-term application only and intensive care is obligatory. Recently, a number of these innovative devices have been developed specifically for pediatric use with miniaturized pumps and optimized cannulas suitable for the entire age range of pediatric patients including neonates. Unlike ECMO, these devices can offer medium- to long-term support, and have been successfully utilized as a bridge to transplant as well as a bridge to recovery. VADs are designed for allow patients to be discharged home. This review examines the different types of devices currently available, their clinical indications for use, improvements in decision-making, device technology, implantation techniques, in coagulation monitoring, anticoagulation, and the current results of pediatric ventricular assist device therapy in the treatment of heart failure in the pediatric population. Copyright © 2010 by Türkiye Klinikleri.