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Erschienen in:
19.08.2021 | What's New in Intensive Care
What’s new in mechanical support strategies for the intensivist in children with severe cardiac failure
Erschienen in: Intensive Care Medicine | Ausgabe 10/2021
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Innovations in Mechanical Circulatory Support (MCS) have offered a valuable lease of life to children with acute decompensated heart failure (ADHF) with an increasing number being bridged to recovery, heart transplantation, decision, or even destination therapy [1, 2]. A recent US study reported that 6% of children with heart disease requiring intensive care present with ADHF, of whom 16% require MCS [3]. The MCS strategy depends on diagnosis, indication for use (bridge to recovery, decision, or heart transplantation), presence of lung disease, deployment during cardiac arrest, age, and size. We highlight new developments in MCS strategies for children with ADHF (Fig. 1).
Fig. 1
What’s new in mechanical circulatory support strategies for children with acute decompensated heart failure. ACTION advanced cardiac therapies improving outcomes network, ADHF acute decompensated heart failure, BiVAD biventricular assist device, BSA body surface area, ECPR extracorporeal cardiopulmonary resuscitation, FA femoral artery, HCM hypertrophic cardiomyopathy, INTERMACS interagency registry for mechanically assisted circulatory support, MCS mechanical circulatory support, LA left atrium, LV left ventricle, LVAD left ventricular assist device, RVAD right ventricular assist device, PA pulmonary artery, RCM restrictive cardiomyopathy, RA right atrium, RV right ventricle, RVF right ventricular failure, VA ECMO veno-arterial extracorporeal membrane oxygenation
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