Ventricular assist device therapy

Kristen Nelson McMillan, Robert Jaquiss

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Ventricular assist devices (VADs) are invaluable tools for the management of end-stage heart failure in children of all ages. Although development of such devices in adults has advanced substantially in the past few decades through several generations of VAD enhancements, the development of such devices for children has lagged behind. However, the last 10 years have seen increased attention to VAD development and use in the pediatric population. Indeed, in the face of stable or only slightly increased numbers of pediatric donors, the number of pediatric heart transplants has increased significantly, in parallel with the increase in the number of children listed as heart transplant candidates. In part the ability to perform many more transplants with only slightly more donors is reflective of the use of VADs to bridge candidates to transplant who in the pre-VAD era would certainly have died. Nonetheless, of all patients on the waiting list for solid-organ transplantation in the United Sates, children listed for heart transplantation face the highest waiting list mortality, an effect that is especially pronounced in the youngest and smallest children, in whom VAD solutions are least satisfactory. It is anticipated that more children with congenital heart disease and cardiomyopathy-associated heart failure will require long-term VAD support in the coming decade as a bridge to transplantation or recovery.

Original languageEnglish (US)
Title of host publicationCritical Heart Disease in Infants and Children
PublisherElsevier
Pages500-512.e3
ISBN (Electronic)9781455707607
ISBN (Print)9781455751006
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

Keywords

  • Congenital heart disease
  • Heart failure
  • Heart transplant
  • Mechanical circulatory support
  • Ventricular assist device

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    McMillan, K. N., & Jaquiss, R. (2018). Ventricular assist device therapy. In Critical Heart Disease in Infants and Children (pp. 500-512.e3). Elsevier. https://doi.org/10.1016/B978-1-4557-0760-7.00040-1