Abstract
DeBakey reported the first clinical use of a ventricular assist device (VAD) in 1971 (1), and over the ensuing 25 years there has been a gradual evolution and refinement in indications and technique. With an increasingly favourable experience in adults, VAD in various formats has become an accepted treatment option for myocardial failure either with an expectation of recovery or more commonly as a bridge to transplantation. ECMO has had less acceptance in adults due to a generally higher complication rate. This is partially related to the high prevalence of multi organ system (MOS) failure in adults with ARDS and/or cardiac failure, and perhaps a stronger tendency toward thromboembolism.
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© 1997 Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt
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Karl, T.R. (1997). Mechanical circulatory support at the Royal Children’s Hospital. In: Hetzer, R., Hennig, E., Loebe, M. (eds) Mechanical Circulatory Support. Steinkopff. https://doi.org/10.1007/978-3-642-95984-4_2
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DOI: https://doi.org/10.1007/978-3-642-95984-4_2
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