Current approaches to device implantation in pediatric and congenital heart disease patients

Expert Review of Cardiovascular Therapy
Jacob R MillerPirooz Eghtesady

Abstract

The pediatric ventricular assist device (VAD) has recently shown substantial improvements in survival as a bridge to heart transplant for patients with end-stage heart failure. Since that time, its use has become much more frequent. With increasing utilization, additional questions have arisen including patient selection, timing of VAD implantation and device selection. These challenges are amplified by the uniqueness of each patient, the recent abundance of literature surrounding VAD use as well as the technological advancements in the devices themselves. Ideal strategies for device placement must be sought, for not only improved patient care, but also for optimal resource utilization. Here, we review the most relevant literature to highlight some of the challenges facing the heart failure specialist, and any physician, who will care for a child with a VAD.

References

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Feb 7, 2012·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·James K KirklinJames B Young
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Aug 9, 2012·The Journal of Thoracic and Cardiovascular Surgery·Aekarach AriyachaipanichHoward K Song

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Citations

Apr 1, 2017·Current Opinion in Organ Transplantation·David C Reineke, Paul J Mohacsi
Aug 8, 2018·Artificial Organs·Kristen Nelson McMillanLuca A Vricella
Oct 24, 2017·Current Opinion in Cardiology·Charlotte S Van DornJonathan N Johnson
Nov 20, 2016·Artificial Organs·Steven G ChopskiAmy L Throckmorton
Mar 5, 2021·Heart Failure Reviews·Andrea Nicola GeorgeSelim Bozkurt

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