ArticleJTCVS techniques2022
Ventricular assist device support in neonates and infants with a failing functionally univentricular circulation.
Article in JTCVS techniques, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 30 citations in OpenAlex.
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- The potential of cardiac xenotransplantation for management of infants with complex congenital heart disease.Translational pediatrics · 2023Review
- Consensus statement on heart xenotransplantation in children: Toward clinical translation.The Journal of thoracic and cardiovascular surgery · 2023Article
- Advances in Extracorporeal Support Technologies in Critically Ill Children.Indian journal of pediatrics · 2023Review
- Supporting univentricular heart in biventricular circulation.JTCVS techniques · 2023Article
- Neonatal ventricular assist device implantation for high-risk hypoplastic left heart syndrome: How we do it.JTCVS techniques · 2022Article
- Commentary: When to go "all in".JTCVS techniques · 2022Article
- Commentary: Add a ventricular assist device? Add a stent? A tree of decisions for small univentricular hearts.JTCVS techniques · 2022Article
- Human Stem Cell-Derived Cardiomyocytes Integrate Into the Heart of Monkeys With Right Ventricular Pressure Overload.Cell transplantationArticle
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10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Some neonates with functionally univentricular hearts are at extremely high risk for conventional surgical palliation. Primary cardiac transplantation offers the best option for survival of these challenging neonates; however, waitlist mortality must be minimized. We have developed a comprehensive strategy for the management of neonates with functionally univentricular hearts that includes the selective use of conventional neonatal palliation in standard-risk neonates, hybrid approaches in neonates with elevated risk secondary to a noncardiac etiology, and neonatal palliation combined with insertion of a single ventricular assist device (VAD) in neonates with elevated risk secondary to a cardiac etiology. Here we describe our selection criteria, technical details, management strategies, pitfalls, and current outcomes for neonates with functionally univentricular hearts supported with a VAD. Our experience shows that extremely high-risk neonates with functionally univentricular hearts who are poor candidates for conventional palliation can be successfully stabilized with concomitant palliation and pulsatile VAD insertion while awaiting cardiac transplantation.
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Registered trials
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.