講演情報
[II-AHAJS-2]Mechanical Circulatory Support in Children
○Joseph Rossano1,2 (1.Children’s Hospital of Philadelphia, 2.Perelman School of Medicine at the University of Pennsylvania, Philadelphia)
キーワード：
ventricular assist device、heart failure、congenital heart disease
Mechanical circulatory support (MCS) has emerged as a critical therapy for children with end-stage heart failure due to cardiomyopathy or congenital heart disease (CHD). Over the past several decades, the field has advanced from rudimentary extracorporeal support options to sophisticated temporary and durable devices. This presentation will begin with a brief history of MCS in children, highlighting key milestones and the evolving indications for support. The current landscape of MCS will be reviewed, including both temporary devices such as extracorporeal membrane oxygenation (ECMO), short-term ventricular assist devices (VADs), and durable VADs such as the Berlin Heart EXCOR and implantable continuous-flow devices such as the HeartMate 3. Special attention will be given to patient selection, device-specific considerations, and outcomes in both cardiomyopathy and CHD populations. Finally, we will explore the future of pediatric MCS, including emerging technologies, innovation in miniaturization, novel pump designs, and strategies for myocardial recovery and bridge to transplant. The talk will emphasize the importance of multidisciplinary collaboration, data-driven approaches, and research in improving outcomes for children supported with MCS.