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heart disease J Heart Lung Transplant 2017;36(11):1209–1216 This recent study from the Berlin Heart Excor Pediatric Study dataset highlights the challenges of mechanical support in patients with CHD Overall the outcomes of CHD patients were worse than patients with cardiomyopathy and among CHD patients, end-organ dysfunction, young age, prior ECMO, and prior congenital heart surgery were associated with increased mortality Rossano JW, Lorts A, VanderPluym CJ, et al Outcomes of pediatric patients supported with continuous-flow ventricular assist devices: A report from the pediatric interagency registry for mechanical circulatory support (PediMACS) J Heart Lung Transplant 2016;35(5):585–590 This recent study from Pedimacs describes the outcomes of children supported with continuous flow VADs Overall, the outcomes in children were excellent and similar to adult patients that were implanted as a bridge to transplantation Although most of the VADs were placed in adolescents, an increasing number are being placed in smaller children References Blume ED, Naftel DC, Bastardi HJ, et al Outcomes of children bridged to heart transplantation with ventricular assist devices: a multi-institutional study Circulation 2006;113(19):2313–2319 Rossano JW, Cherikh WS, Chambers DC, et al The registry of the international society for heart and lung transplantation: twentieth pediatric heart transplantation Report-2017; Focus theme: allograft ischemic time J Heart Lung Transplant 2017 Rossano JW, Kim JJ, Decker JA, et al Prevalence, morbidity, and mortality of heart failure-related hospitalizations in children in the United States: a population-based study J Card Fail 2012;18(6):459–470 Blume ED, VanderPluym C, Lorts A, et al Second annual pediatric interagency registry for mechanical circulatory support (Pedimacs) report: Pre-implant characteristics and outcomes J Heart Lung Transplant 2018;37(1):38–45 Rossano JW, Shaddy RE Heart failure in children: etiology and treatment J Pediatr 2014;165(2):228–233 6 Everitt MD, Sleeper LA, Lu M, et al Recovery of echocardiographic function in children with idiopathic dilated cardiomyopathy: results from the pediatric cardiomyopathy registry J Am Coll Cardiol 2014;63(14):1405–1413 Alexander PM, Daubeney PE, Nugent AW, et al Long-term outcomes of dilated cardiomyopathy diagnosed during childhood: results from a national population-based study of childhood cardiomyopathy Circulation 2013;128(18):2039–2046 Wittlieb-Weber CA, Lin KY, Zaoutis TE, et al Pediatric versus adult cardiomyopathy and heart failure-related hospitalizations: a value-based analysis J Card Fail 2015;21(1):76–82 Kirklin JK, Naftel DC, Kormos RL, et al Fifth INTERMACS annual report: risk factor analysis from more than 6,000 mechanical circulatory support patients J Heart Lung Transplant 2013;32(2):141–156 10 Kirklin JK, Naftel DC, Pagani FD, et al Seventh INTERMACS annual report: 15,000 patients and counting J Heart Lung Transplant 2015;34(12):1495–1504 11 Adachi I, Khan MS, Guzman-Pruneda FA, et al Evolution and impact of ventricular assist device program on children awaiting heart ... Rossano JW, Cherikh WS, Chambers DC, et al The registry of the international society for heart and lung transplantation: twentieth pediatric heart transplantation Report-2017; Focus theme: allograft ischemic time J Heart Lung Transplant... United States: a population-based study J Card Fail 2012;18(6):459–470 Blume ED, VanderPluym C, Lorts A, et al Second annual pediatric interagency registry for mechanical circulatory support (Pedimacs) report: Pre-implant characteristics and outcomes... of echocardiographic function in children with idiopathic dilated cardiomyopathy: results from the pediatric cardiomyopathy registry J Am Coll Cardiol 2014;63(14):1405–1413 Alexander PM, Daubeney PE, Nugent AW, et al

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    Section 5 Heart Failure and Transplantation

    66 Chronic Mechanical Circulatory Support

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