caa a22 4500 445825715 CHVBK 20180317145258.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00246-011-9949-0 doi (NATIONALLICENCE)springer-10.1007/s00246-011-9949-0 Clinical Experience With Berlin Heart Excor in Pediatric Patients in Argentina: 1373days of Cardiac Support [Elektronische Daten] [Guillermo Moreno, Alberto Charroqui, María Pilán, Ricardo Magliola, Mariela Krynski, María Althabe, Luis Landry, Gabriela Sciuccati, Alejandra Villa, Horacio Vogelfang] The objective of this study was to describe our experience (1373days of support) with the Berlin Heart Excor (BH) ventricular-assist device (VAD) as bridging to cardiac transplantation in pediatric patients with end-stage cardiomyopathy. This study involved a retrospective observational cohort. Records of patients supported with the BH VAD were reviewed. Data regarding age, sex, weight, diagnosis, preoperative condition, single versus biventricular support, morbidity, and mortality were collected. Criteria for single versus biventricular support and intensive care unit management were registered. The procedure was approved by our Institutional Ethics Committee, and informed consent was obtained. Between March 2006 and March 2010, 12 patients with diagnosis of dilated (n=10) and restrictive (n=2) cardiomyopathy were supported. Median age was 56.6months (range 20.1-165.9); mean weight was 18.3kg (range 8.5-45); and nine patients were female. Every patient presented with severe heart failure refractory to pharmacological therapy. Biventricular support was necessary in four patients. Nine patients underwent heart transplantation. No child was weaned off the BH VAD because of myocardial recovery. Mean length of support was 73days (range 3-331), and the total number of days of support was 1373. Three patients had fatal complications: 2 had thrombo-hemorrhagic stroke leading to brain death, and one had refractory vasoplegic shock. The BH VAD is a useful and reasonable safe device for cardiac transplantation bridging in children with end-stage heart failure. Team experience resulted in less morbidity and mortality, and time for implantation, surgical procedure, anticoagulation monitoring, and patient care improved. Springer Science+Business Media, LLC, 2011 Mechanical assist device nationallicence Pneumatically pulsatile assist device nationallicence Cardiac transplantation nationallicence End-stage heart failure nationallicence Cardiac failure nationallicence Moreno Guillermo Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut Charroqui Alberto Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut Pilán María Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut Magliola Ricardo Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut Krynski Mariela Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut Althabe María Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut Landry Luis Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut Sciuccati Gabriela Hematology/Oncology Service, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut Villa Alejandra Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut Vogelfang Horacio Cardiac Transplantation Service, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut Pediatric Cardiology Springer-Verlag 32/5(2011-06-01), 652-658 0172-0643 32:5<652 2011 32 246 https://doi.org/10.1007/s00246-011-9949-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-011-9949-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Moreno Guillermo Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut NATIONALLICENCE 700 1- Charroqui Alberto Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut NATIONALLICENCE 700 1- Pilán María Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut NATIONALLICENCE 700 1- Magliola Ricardo Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut NATIONALLICENCE 700 1- Krynski Mariela Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut NATIONALLICENCE 700 1- Althabe María Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut NATIONALLICENCE 700 1- Landry Luis Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut NATIONALLICENCE 700 1- Sciuccati Gabriela Hematology/Oncology Service, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut NATIONALLICENCE 700 1- Villa Alejandra Cardiac Intensive Care Unit, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut NATIONALLICENCE 700 1- Vogelfang Horacio Cardiac Transplantation Service, Hospital de Pediatría "Dr. Juan P. Garrahan”, Buenos Aires, Argentina aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/5(2011-06-01), 652-658 0172-0643 32:5<652 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer