Hemostasis management in pediatric mechanical circulatory support.
In a 9-year-old boy, bridging to transplantation was successful with an external biventricular device, the Berlin Heart Excor (Berlin Heart, Berlin, Germany), during a 7-month period. Main long-term complications consisted of infection and hypercoagulability with clotting inside the chambers necessitating six pump exchanges, but without thromboembolic events. This report reviews hemostasis monitoring and management of long-term mechanical circulatory support.
Seibel
Kerstin
K
Pediatric Intensive Care Unit, Inselspital, Bern, Switzerland.
Berdat
Pascal
P
Boillat
Colette
C
Wagner
Bendicht
B
Zachariou
Zacharias
Z
Kessler
Ulf
U
D001243:Assisted Circulation; D001777:Blood Coagulation / Q000502:physiology; D002648:Child; D020878:Device Removal; D004867:Equipment Design; D004868:Equipment Failure; D005500:Follow-Up Studies; D006333:Heart Failure / Q000209:etiology / Q000601:surgery*; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000601:surgery; D012086:Reoperation; D018570:Risk Assessment; D013916:Thrombelastography; D013923:Thromboembolism / Q000175:diagnosis / Q000517:prevention & control*; D013997:Time Factors; D018497:Ventricular Dysfunction, Right / Q000150:complications* / Q000175:diagnosis; D014850:Waiting Lists