Evidence map›Paper›PMID 28546755›Full record

ReviewVascular health and risk management2017

Pediatric ventricular assist devices: current challenges and future prospects.

Sarah Burki, Iki Adachi

Open access · goldAbstract readReview
In one paragraph

Review in Vascular health and risk management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 79 citations in OpenAlex.

  1. Article
  2. Recent Developments in Ventricular Assist Device Therapy.Reviews in cardiovascular medicine · 2025
    Review
  3. Article
  4. Pediatric mechanical circulatory support - a review.Indian journal of thoracic and cardiovascular surgery · 2023
    Review
  5. Article
  6. Review
  7. Article
  8. Design and Computational Evaluation of a Pediatric MagLev Rotary Blood Pump.ASAIO journal (American Society for Artificial Internal Organs : 1992) · 2021
    Article
  9. Review
  10. Review
  11. The role of ventricular assist device in children.Cardiovascular diagnosis and therapy · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Observational
  16. An introduction to point-of-care testing in extracorporeal circulation and LVADs.Hematology. American Society of Hematology. Education Program · 2018
    Review
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Sarah BurkiDivision of Congenital Heart Surgery, Texas Children's Hospital.
Iki AdachiDivision of Congenital Heart Surgery, Texas Children's Hospital.
Texas Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The field of mechanical circulatory support has made great strides in the preceding 2 decades. Although pediatric mechanical circulatory support has lagged behind that of adults, the gap between them is expected to close soon. The only device currently approved by the US Food and Drug Administration for use in children is the Berlin Heart EXCOR ventricular assist device (VAD). The prospective Berlin Heart Investigational Device Exemption Trial demonstrated good outcomes, such as bridge to transplantation or recovery, in ~90% of children supported with this device. However, a high incidence of hemorrhagic and thrombotic complications was also noted. As a result, pediatric centers have just started implanting adult intracorporeal continuous-flow devices in children. This paradigm shift has opened a new era in pediatric mechanical circulatory support. Whereas children on VAD were previously managed exclusively in hospital, therapeutic options such as outpatient management and even destination therapy have been becoming a reality. With continued miniaturization and technological refinements, devices currently in development will broaden the range of options available to children. The HeartMate 3 and HeartWare MVAD are two such compact VADs, which are anticipated to have great potential for pediatric use. Additionally, a pediatric-specific continuous-flow VAD, the newly redesigned Jarvik Infant 2015, is currently undergoing preclinical testing and is expected to undergo a randomized clinical trial in the near future. This review aims to discuss the challenges posed by the use of intracorporeal adult continuous-flow devices in children, as well as to provide our perspective on the future prospects of the field of pediatric VADs.

Indexed as

Heart-Assist DevicesVentricular FunctionAge FactorsAnticoagulantsBody WeightChild, PreschoolHeart Defects, CongenitalHeart FailureHeart TransplantationHumansInfantInfant, NewbornMiniaturizationProsthesis DesignRecovery of FunctionRisk FactorsAnticoagulantsanticoagulationchildrenchronic graft dysfunctionMCSmechanical circulatory supportminiaturizationsingle ventricleSV

Identifiers

PMID28546755
PMCPMC5437969
OpenAlexW2614740188

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.