ECMO provides univentricular and biventricular support for pediatric patients with end-stage heart failure, serving as a bridge to transplantation, with echocardiography playing a central role in estimating cardiac performance.
Supports ECMO bridging in pediatric end-stage HF; leaves open prospective trials to standardize echocardiography protocols.
The prognosis of patients with end-stage heart failure presenting with acute clinical deterioration is poor. Extracorporeal membrane oxygenation (ECMO), however, can provide univentricular and biventricular cardiac support which has led to the extended application of ECMO to infants and children. With improving results, indications and modalities of mechanical support have changed, and mechanical bridge to cardiac transplantation will offer extended survival for selected patients. The purpose of this article is to provide comprehensive data of pediatric cardiac support and to discuss the central role of echocardiography in the estimation of cardiac performance during mechanical support. As a conclusion, one can predict that the encouraging results of today will lead to further technological developments, which will create individual technical solutions of different clinical applications.
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Marx et al. (1999) studied this question.
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