Perioperative management of ventricular assist devices in children and adolescents

Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
Heather A Dickerson, Anthony C Chang

Abstract

Ventricular assist devices are an integral part of therapy for patients with end-stage heart failure. Devices can either bridge to recovery or to transplantation. Options for ventricular assist devices include those that are centrifugal, pulsatile, and new rotary/axial devices. Care of the patient on a ventricular assist device is multifaceted, involving pharmacologic or mechanical support of the right ventricle, management of systemic vascular resistance, and manipulation of the hematologic system to avoid bleeding or thrombosis. In addition, care of these patients involves support of all end organs and avoidance of infectious complications. Care of these patients is complex, requiring a highly integrated team for optimal outcome.

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Citations

Jun 5, 2013·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Yishay OrrIki Adachi
Jan 1, 2012·World Journal for Pediatric & Congenital Heart Surgery·Ravi R ThiagarajanDavid L S Morales
Jan 1, 2012·World Journal for Pediatric & Congenital Heart Surgery·David A HehirNancy S Ghanayem

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