Mechanical circulatory support in children with cardiac disease.

作者: Brian W. Duncan , Viktor Hraska , Richard A. Jonas , David L. Wessel , Pedro J. Del Nido

DOI: 10.1016/S0022-5223(99)70333-8

关键词: MedicineHeart failureHeart diseaseUnivariate analysisCardiologyInternal medicineMembrane oxygenatorSingle CenterDiseaseExtracorporeal membrane oxygenationCirculatory system

摘要: Abstract Objective: To review the experience from a single center that uses both extracorporeal membrane oxygenation and ventricular assist devices for children with cardiac disease requiring mechanical circulatory support. Methods: A retrospective chart was performed all pediatric patients who required support or devices. Statistical analysis of impact multiple clinical parameters on survival performed. Results: From 1987 through 1996 we provided primary diagnosis using (67 patients) (29 patients). Twenty-seven 67 (40.3%) supported 12 29 (41.4%) survived to hospital discharge. Failure return function within 72 hours institution an ominous sign in either modality. Univariate revealed serum pH at 24 support, bicarbonate urine output over first development renal failure have statistically significant association oxygenation. None evaluated by univariate were significantly associated Conclusions: Extracorporeal represent complementary modalities can be used effectively disease. (J Thorac Cardiovasc Surg 1999;117:529-42)

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