An overview of mechanical circulatory support in children

Robert D B Jaquiss, Ronald A. Bronicki

Research output: Contribution to journalReview article

12 Scopus citations

Abstract

OBJECTIVE:: For children with severe heart failure in whom medical management has failed, mechanical circulatory support in the form of either extracorporeal membrane oxygenation or ventricular assist device represents life-sustaining therapy. This review provides an overview of these two modalities, including a discussion of indications, contraindications, timing, and device selection, as part of the Pediatric Cardiac Intensive Care Society/Extracorporeal Life Support Organization Joint Statement on Mechanical Circulatory Support. DATA SOURCES, STUDY SELECTION, DATA EXTRACTION:: PubMed was searched using the following terms: ECMO, extracorporeal membrane oxygenation, ventricular assist device, VAD, and pediatric. Case reports, single-center series, multicenter studies, and registry reports were reviewed. CONCLUSIONS:: The two technologies have unique advantages and disadvantages and may be considered complementary devices, although they are frequently used in sequence. Either modality may be used as bridge-to-transplant or bridge-to-recovery, and the choice of device and device timing is influenced by the acuity of illness, comorbidities, potential for recovery, and anticipated duration of support.

Original languageEnglish (US)
Pages (from-to)S3-S6
JournalPediatric Critical Care Medicine
Volume14
Issue number5 SUPPL
DOIs
StatePublished - Jun 1 2013

Keywords

  • Extracorporeal membrane oxygenation
  • Pediatric
  • Ventricular assist device

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Critical Care and Intensive Care Medicine

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