Abstract
Historically, extracorporeal membrane oxygenation (ECMO) was the predominant form of mechanical circulatory support (MCS) in children. However, the approval of a VAD for use in pediatrics, along with technical improvements and progressive miniaturization of adult devices, has resulted in a rapid increase in the options available for pediatric MCS. Small size and the presence of congenital heart disease add complexity to MCS. With individualized optimization of support based on physiology, anatomy, and cause of heart failure, MCS has the potential to improve survival to and following heart transplantation. In specific cases, MCS may even supplant heart transplantation as optimal treatment for end-stage heart failure.
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Davies, R.R., McCulloch, M.A. (2018). Cardiac Support Devices and Their Use in Infants and Children in the Overall Strategy of Cardiac Transplantation. In: Dunn, S., Horslen, S. (eds) Solid Organ Transplantation in Infants and Children. Organ and Tissue Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-07284-5_58
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