Pediatric mechanical circulatory support.
Extracorporeal membrane oxygenation (ECMO) is based on technology that has been used clinically for decades. Largely because of its widespread use in pediatric patients with respiratory failure, familiarity with this technology has established ECMO as the most commonly used form of circulatory support for children. However, clinical applications and technical aspects of ECMO support continue to evolve, ensuring the ongoing importance of this modality for pediatric circulatory support. Although traditionally lagging behind development for adult applications, the use of ventricular assist devices (VADs) is expanding in pediatrics. Of particular interest, a number of new VADs designed specifically for children are becoming available, while early development of some innovative devices for pediatric circulatory support is currently underway.
Duncan
Brian W
BW
Pediatric and Congenital Heart Surgery, The Children's Hospital at The Cleveland Clinic, Cleveland, OH 44195, USA. duncanb@ccf.org
D002648:Child; D004867:Equipment Design; D015199:Extracorporeal Membrane Oxygenation / Q000639:trends*; D006323:Heart Arrest / Q000628:therapy; D006353:Heart-Assist Devices / Q000639:trends*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000628:therapy; D009205:Myocarditis / Q000628:therapy; D010360:Patient Transfer