Key result
Extracorporeal membrane oxygenation remains the primary circulatory support modality for children, while new ventricular assist devices designed specifically for pediatric use are expanding.
Mechanical circulatory support in pediatrics is evolving, with expanding use of VADs specifically designed for children alongside traditional ECMO.
Supports continued ECMO primacy with growing pediatric VAD availability; leaves open optimal patient-device matching and outcomes.
Extracorporeal membrane oxygenation (ECMO) is based on technology that has been used clinically for decades. Largely because of its widespread use in pediatric patients with respiratory failure, familiarity with this technology has established ECMO as the most commonly used form of circulatory support for children. However, clinical applications and technical aspects of ECMO support continue to evolve, ensuring the ongoing importance of this modality for pediatric circulatory support. Although traditionally lagging behind development for adult applications, the use of ventricular assist devices (VADs) is expanding in pediatrics. Of particular interest, a number of new VADs designed specifically for children are becoming available, while early development of some innovative devices for pediatric circulatory support is currently underway.
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Brian W. Duncan (2005) conducted a review in Pediatric respiratory failure and circulatory support. Extracorporeal membrane oxygenation (ECMO) and Ventricular assist devices (VADs) was evaluated. Extracorporeal membrane oxygenation remains the primary circulatory support modality for children, while new ventricular assist devices designed specifically for pediatric use are expanding.
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