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About:
Experience with Temporary Centrifugal Pump Bi-ventricular Assist Device for Pediatric Acute Heart Failure: Comparison with ECMO
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wasabi.inria.fr
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research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Experience with Temporary Centrifugal Pump Bi-ventricular Assist Device for Pediatric Acute Heart Failure: Comparison with ECMO
Creator
Lim, Jae
Kwon, Hye
Bae, Eun
Mi, ·
Gi, ·
Jeong, ·
Kim, Beom
Kim, Woong-Han
Kwak, Jae
Lee, Ryul
Min, Jooncheol
Song, Kyung
topic
covid:cf4862c0fda8f258eb9188acbd4cd13afd5222e6#this
source
PMC
abstract
Though ventricular assist devices (VADs) are an important treatment option for acute heart failure, an extracorporeal membrane oxygenator (ECMO) is usually used in pediatric patients for several reasons. However, a temporary centrifugal pump-based Bi-VAD might have clinical advantages versus ECMO or implantable VADs. From January 2000 to July 2018, we retrospectively reviewed 36 pediatric patients who required mechanical circulatory support (MCS) for acute heart failure. Cases with postoperative MCS were excluded. Since 2016, we have tried to immediately add a right VAD rather than ECMO, when the patients begin to present features of right heart failure after left VAD support started in cases that the patients’ respiratory function did not require an oxygenator. Original diagnoses included dilated cardiomyopathy (n = 18), myocarditis (n = 11), and others (n = 7). Eleven patients were supported by Bi-VAD, and 25 patients were supported by ECMO; of these. Four patients were successfully weaned from VAD, and 10 patients were weaned from ECMO. Eleven patients underwent heart transplantation. Overall, we have 15 (41.7%) early mortalities. There were no significant differences in early mortality, morbidity, and weaning rate between the Bi-VAD group and the ECMO group. During the support, patients with Bi-VADs significantly required fewer platelets and showed less hemolysis than ECMO patients. Patients with myocarditis were successfully weaned from Bi-VAD support and bridged to transplantation thereafter. A temporary centrifugal pump-based Bi-VAD was clinically comparable to ECMO for pediatric patients with acceptable pulmonary function.
has issue date
2020-08-27
(
xsd:dateTime
)
bibo:doi
10.1007/s00246-020-02412-0
bibo:pmid
32856126
has license
no-cc
sha1sum (hex)
cf4862c0fda8f258eb9188acbd4cd13afd5222e6
schema:url
https://doi.org/10.1007/s00246-020-02412-0
resource representing a document's title
Experience with Temporary Centrifugal Pump Bi-ventricular Assist Device for Pediatric Acute Heart Failure: Comparison with ECMO
has PubMed Central identifier
PMC7451784
has PubMed identifier
32856126
schema:publication
Pediatr Cardiol
resource representing a document's body
covid:cf4862c0fda8f258eb9188acbd4cd13afd5222e6#body_text
is
http://vocab.deri.ie/void#inDataset
of
https://covidontheweb.inria.fr:4443/about/id/http/ns.inria.fr/covid19/cf4862c0fda8f258eb9188acbd4cd13afd5222e6
is
schema:about
of
named entity 'heart transplantation'
named entity 'ventricular assist devices'
named entity 'circulatory support'
named entity 'ECMO'
named entity 'Overall'
named entity 'ACCEPTABLE'
named entity 'REVIEWED'
named entity 'MECHANICAL CIRCULATORY SUPPORT'
named entity 'USUALLY'
named entity 'CASES'
named entity '2000'
named entity 'BASED'
named entity 'PULMONARY FUNCTION'
named entity 'USED'
named entity 'PRESENT'
named entity 'MORTALITIES'
named entity 'WEANING'
named entity 'MCS'
named entity 'EXCLUDED'
named entity 'RATE'
named entity 'VAD'
named entity 'poster session'
named entity 'IRB'
named entity 'centrifugal pump'
named entity 'statistical significance'
named entity 'ECMO'
named entity 'central venous pressure'
named entity 'VAD'
named entity 'renal dysfunction'
named entity 'chi-squared test'
named entity 'medical treatment'
named entity 'base excess'
named entity 'ECMO'
named entity 'LVAD'
named entity 'left atrium'
named entity 'Clinical features'
named entity 'pharmaceutical'
named entity 'ACT'
named entity 'LVAD'
named entity 'heart transplantation'
named entity 'pediatric patients'
named entity 'follow-up'
named entity 'mmHg'
named entity 'pleural effusions'
named entity 'cardiac dysfunction'
named entity 'hepatic dysfunction'
named entity 'transfusion'
named entity 'body weight'
named entity 'started'
named entity 'temporary'
named entity 'features'
named entity 'dilated cardiomyopathy'
named entity 'ECMO'
named entity 'multivariate analysis'
named entity 'LVAD'
named entity 'hemoglobin'
named entity 'plasma'
named entity 'VAD'
named entity '8 days'
named entity 'left atrial appendage'
named entity 'RBC'
named entity 'Germany'
named entity 'statistically significant'
named entity 'VAD'
named entity 'hemolysis'
named entity 'Renal impairment'
named entity 'pediatric patients'
named entity 'ECMO'
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