An Overview of Mechanical Circulatory Support in Children

作者：Jaquiss Robert D B^*; Bronicki Ronald A

来源：Pediatric Critical Care Medicine, 2013, 14(5): S3-S6.

DOI：10.1097/PCC.0b013e318292dca5

• extracorporeal membrane oxygenation
• pediatric
• ventricular assist device

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. %26lt;br%26gt;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. %26lt;br%26gt;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.

• 出版日期2013-6