Starting Pediatric VAD Program: Transforming Challenges into Opportunities; A Case Series of a Single Center.

Autor:	Bakoš M; Department of Pediatrics, University Hospital Centre Zagreb, 10000 Zagreb, Croatia. mbakos11@gmail.com., Novak M; Department of Pediatrics, University Hospital Centre Zagreb, 10000 Zagreb, Croatia. milivoj.novak@kbc-zagreb.hr., Šarić D; Department of Pediatrics, University Hospital Centre Zagreb, 10000 Zagreb, Croatia. saric.dalibor@gmail.com., Bartoniček D; Department of Pediatrics, University Hospital Centre Zagreb, 10000 Zagreb, Croatia. dorotea.bartonicek@gmail.com., Belina D; Department of Cardiac Surgery, University Hospital Centre Zagreb, 10000 Zagreb, Croatia. drazen.belina@hotmail.com., Đurić Ž; Department of Cardiac Surgery, University Hospital Centre Zagreb, 10000 Zagreb, Croatia. zeljko.djurich@gmail.com., Anić D; Department of Cardiac Surgery, University Hospital Centre Zagreb, 10000 Zagreb, Croatia; University of Zagreb, School of Medicine, 10000 Zagreb, Croatia. darkoanic@gmail.com., Čolak Ž; University of Zagreb, School of Medicine, 10000 Zagreb, Croatia; Department of Anesthesiology, University Hospital Centre Zagreb, 10000 Zagreb, Croatia. zeljko.colak@kbc-zagreb.hr., Konosić S; University of Zagreb, School of Medicine, 10000 Zagreb, Croatia; Department of Anesthesiology, University Hospital Centre Zagreb, 10000 Zagreb, Croatia. sanja.konosic@kbc-zagreb.hr., Mihalec M; Department of Pediatrics, University Hospital Centre Zagreb, 10000 Zagreb, Croatia. mmkcarmen@gmail.com., Rubić F; Department of Pediatrics, University Hospital Centre Zagreb, 10000 Zagreb, Croatia; University of Zagreb, School of Medicine, 10000 Zagreb, Croatia. filiprubic@gmail.com., Matić T; Department of Pediatrics, University Hospital Centre Zagreb, 10000 Zagreb, Croatia; University of Zagreb, School of Medicine, 10000 Zagreb, Croatia. madtmatic@yahoo.com., Međimurec G; Department of Cardiac Surgery, University Hospital Centre Zagreb, 10000 Zagreb, Croatia. goran.medimurec@gmail.com., Planinc M; Department of Cardiac Surgery, University Hospital Centre Zagreb, 10000 Zagreb, Croatia. mislav.planinc@gmail.com.
Jazyk:	angličtina
Zdroj:	The heart surgery forum [Heart Surg Forum] 2023 Aug 09; Vol. 26 (4), pp. E326-E335. Date of Electronic Publication: 2023 Aug 09.
DOI:	10.59958/hsf.5545
Abstrakt:	Background: The prevalence of heart failure is constantly increasing in both children and adults. End-stage heart failure in children unresponsive to medical therapy has limited treatment options. Surgical options include heart transplantation or implantation of durable ventricular assist devices (VADs). To start the VAD program, it was necessary to train core team members, invite experienced proctors and adjust the organizational approach. Methods: We present our first seven pediatric patients who underwent a VAD implantation with primary indication end-stage dilated cardiomyopathy. Results: The median age on implant was four and a half years and the median duration of VAD support was 39 days with long term survival achieved in three patients. The causes of death were multiorgan failure, thromboembolic events, sepsis, and low cardiac output syndrome. Ischemic stroke was the reason for successful neurointervention during VAD support in two patients. Conclusions: To establish a VAD program, numerous specialties must be included with adequate training and learning for all team members.
Databáze:	MEDLINE
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