Extracorporeal life support and heart-lung transplant in children

被引：0

作者：

Hascoet, Sebastien ^{[1
,9
]}

Boet, Angele ^{[1
,9
]}

Nubret, Karine ^{[2
]}

Lilot, Marc ^{[3
,10
]}

Feuillet, Severine ^{[4
,9
]}

Benbrik, Nadir ^{[5
]}

Guihaire, Julien ^{[6
,9
]}

Le Bret, Emmanuel ^{[1
,9
]}

Fadel, Elie ^{[4
,9
]}

Fouilloux, Virginie ^{[7
,11
]}

Amedro, Pascal ^{[8
]}

Houyel, Lucile ^{[1
,9
]}

Kreitmann, Bernard ^{[2
]}

机构：

[1] Hop Marie Lannelongue, Ctr Reference Malformat Cardiaques Congenit Compl, Pole Cardiol Pediat & Congenitale Adulte, 133 Ave Resistance, F-92350 Le Plessis Robinson, France

[2] CHU Bordeaux, Ctr Reference Malformat Cardiaques Congenit Compl, Cardiol Pediat & Congenitale, Bordeaux, France

[3] Hosp Civils Lyon, Hop Femme Mere Enfant, Dept Anesthesie, 59 Blvd Pinel, Bron, France

[4] Hop Marie Lannelongue, Ctr Reference, Ctr Reference Hypertens Arterielle Pulm, Pole Chirurg Thorac, F-92350 Le Plessis Robinson, France

[5] CHU Nantes, Ctr Competence Malformat Cardiaques Congenit Comp, Federat Unites Cardiopathies Congenit Pediat & Ad, Nantes, France

[6] Hop Marie Lannelongue, Pole Chirurg Cardiaque, 133 Ave Resistance, F-92350 Le Plessis Robinson, France

[7] Hop Enfants La Timone, AP HM, Ctr Competence Malformat Cardiaques Congenit Comp, Medicochirurg Cardiol Pediat & Congenitale M3Cser, 264 Rue St Pierre, F-13005 Marseille, France

[8] Univ Montpellier, CHU Montpellier,PHYMEDEXP,UMR CNRS 9214,Inserm U1, Cardiol Pediat & Congenitale,Lab Physiol & Med Ex, Ctr Competence Malformat Cardiaques Congenit Comp, Montpellier, France

[9] Univ Paris Sud, Univ Paris Saclay, Fac Med Paris Sud, Paris, France

[10] Univ Claude Bernard Lyon 1, Ctr Lyonnais Enseignement Simulat Sante, SAMSEI, Hlth Serv & Performance Res Lab,EA HESPER 7425, Lyon, France

[11] Aix Marseille Univ, Fac Med, Marseille, France

来源：

PRESSE MEDICALE | 2018年 / 47卷 / 7-8期

关键词：

VENTRICULAR ASSIST DEVICES; EARLY GRAFT FAILURE; QUALITY-OF-LIFE; INTERNATIONAL SOCIETY; CARDIAC TRANSPLANTATION; PEDIATRIC LUNG; REGISTRY; OUTCOMES; NONADHERENCE; OXYGENATION;

D O I：

10.1016/j.lpm.2018.01.014

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Extracorporeal life support and heart and/or lung transplant are the last resort in children with end-stage cardiac and/or pulmonary failure and short-term life threaten. Currently, circulatory support is used as a bridge to recovery or as a bridge to transplant but not as a destination therapy. The Excor Berlin Heart is the long-lasting external pneumatic ventricular assist system that is currently available from infancy to adulthood. Long-term prognosis after pediatric cardiac and/or pulmonary transplant is conditioned by the occurrence of graft failure, coronary disease of the cardiac graft, viral infections and bronchiolitis obliterans of the pulmonary graft, the incidence of which increase with time. The scarcity of grafts and the risk of acute rejection due to lack of compliance with immunosuppressive treatment require the transplant specialized teams to choose the best candidates according to psychosocial and biological criteria. The next expected developments concern mainly long-term ventricular assistance with systems that allow for greater autonomy and a return to the child's home.

引用

页码：611 / 619

页数：9

共 30 条

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