Pediatric ventricular assist devices: what are the key considerations and requirements?

Pediatric ventricular assist devices: what are the key considerations and requirements? Expert Rev Med Devices. 2019 Nov 28;: Authors: Hetzer R, Javier MFDM, Javier Delmo EM Abstract Introduction: The development of ventricular assist devices (VADs) have enabled myocardial recovery and improved patient survival until heart transplantation. However, device options remain limited for children and lag in development.Areas covered: This review focuses on the evolution of pediatric VADs in becoming an accepted treatment option in advanced heart failure, discusses the classification of VADs available for children, i.e. types of pumps and duration of support, and defines implantation indications and explantation criteria with attendant complications, discussing its long-term outcome. Furthermore, we emphasize key considerations in the application of these devices in infants, children and adolescents.Expert opinion: Increasing use of VADs has facilitated a leading edge in management of advanced heart failure either as a bridge to transplantation or as a bridge to myocardial recovery. In newborns and small children, the EXCOR Pediatric VAD remains the only reliable option. In some patients ventricular unloading may lead to complete myocardial recovery. VAD development should be aimed at: (1) smaller, more effective durable system components, (2) an energy supply without risk of infection, (3) minimalization of thrombus formation by optimal in...
Source: Expert Review of Medical Devices - Category: Medical Devices Tags: Expert Rev Med Devices Source Type: research