title: Ventricular assist devices: initial orientation.
abstract: Ventricular assist device (VAD) technology has come from large pulsatile-flow devices with a high rate of technical malfunctions to small continuous flow (cf) devices. Mechanical circulatory support (MCS) systems may be used as short-, mid- or long-term support. Especially if mid- or long-term support is anticipated left VADs (LVADs) have been reported with excellent one and two year survival rates and improved quality of life (QoL). Timing of implantation, patient selection, assessing function of the right ventricular and surgical considerations regarding surgical access side, valve pathology and exit side of the percutaneous lead remain crucial issues for the outcome. In contrast VADs designed for children especially for all age groups, are still underrepresented but increased experience with existing pediatric VADs as well as introduction of second and third generation VADs into in the pediatric age group, offer new perspectives.
authors.affiliation: University Children's Hospital Zurich, Department for Congenital Cardiovascular Surgery.
authors.forename: Martin
authors.initials: M
authors.lastname: Schweiger
authors.forename: Hitendu
authors.initials: H
authors.lastname: Dave
authors.forename: Frithjof
authors.initials: F
authors.lastname: Lemme
authors.forename: Olga
authors.initials: O
authors.lastname: Romanchenko
authors.forename: Michael
authors.initials: M
authors.lastname: Hofmann
authors.forename: Michael
authors.initials: M
authors.lastname: Hübler
keywords: Ventricular assist device (VAD); mechanical circulatory support (MCS); quality of life (QoL)