id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-012536-fh5tj8qr	Lim, Jae Hong	Experience with Temporary Centrifugal Pump Bi-ventricular Assist Device for Pediatric Acute Heart Failure: Comparison with ECMO	2020-08-27		.txt	text/plain	3887	165	47	Though ventricular assist devices (VADs) are an important treatment option for acute heart failure, an extracorporeal membrane oxygenator (ECMO) is usually used in pediatric patients for several reasons. However, a temporary centrifugal pump-based Bi-VAD might have clinical advantages versus ECMO or implantable VADs. From January 2000 to July 2018, we retrospectively reviewed 36 pediatric patients who required mechanical circulatory support (MCS) for acute heart failure. Since 2016, we have tried to immediately add a right VAD rather than ECMO, when the patients begin to present features of right heart failure after left VAD support started in cases that the patients' respiratory function did not require an oxygenator. This study investigated differences between the clinical outcomes of temporary centrifugal pump-based Bi-VAD and ECMO as rescue treatments for medically intractable acute decompensated heart failure in pediatric patients. This study showed that a temporary centrifugal pump-based Bi-VAD remains relevant in selected cases of medically intractable acute decompensated heart failure, particularly in patients with myocarditis with acceptable pulmonary function.	./cache/cord-012536-fh5tj8qr.txt	./txt/cord-012536-fh5tj8qr.txt