Skip Navigation LinksHome > June 2013 - Volume 14 - Issue 5_suppl > An Overview of Mechanical Circulatory Support in Children
Pediatric Critical Care Medicine:
doi: 10.1097/PCC.0b013e318292dca5
Joint Statement on Mechanical Circulatory Support

An Overview of Mechanical Circulatory Support in Children

Jaquiss, Robert D. B. MD1; Bronicki, Ronald A. MD2,3

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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.

©2013The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies

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