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Pediatric Ventricular Assist Device

Authors
 Yu Rim Shin  ;  Young-Hwan Park  ;  Han Ki Park 
Citation
 Korean Circulation Journal, Vol.49(8) : 678-690, 2019 
Journal Title
 Korean Circulation Journal 
ISSN
 1738-5520 
Issue Date
2019
Keywords
Cardiac transplantation ; Extracorporeal membranous oxygenation ; Heart failure ; Pediatric ; Ventricular assist device
Abstract
There have been great advances in ventricular assist device (VAD) treatment for pediatric patients with advanced heart failure. VAD support provides more time for the patient in the heart transplant waiting list. Augmented cardiac output improves heart failure symptoms, end-organ function, and general condition, and consequently provides beneficial effects on post-transplant outcomes. Miniaturized continuous flow devices are more widely adopted for pediatric patient with promising results. For infants and small children, still paracorporeal pulsatile device is the only option for long-term support. Younger age, congenital heart disease, biventricular support, patient's status and end-organ dysfunction at the time of implantation are risks for poor outcomes. Patient selection, timing of implantation, and selection of device for each patient are critical for optimal clinical outcomes.
Files in This Item:
T201903041.pdf Download
DOI
10.4070/kcj.2019.0163
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Young Hwan(박영환) ORCID logo https://orcid.org/0000-0001-9802-8017
Park, Han Ki(박한기) ORCID logo https://orcid.org/0000-0002-7472-7822
Shin, Yu Rim(신유림)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/171177
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