Morgan Stanley Children's Hospital of New York, New York, NY, USA.
Cincinnati Children's Hospital, Cincinnati, OH, USA.
Pediatr Transplant. 2021 May;25(3):e13990. doi: 10.1111/petr.13990. Epub 2021 Mar 5.
Right heart failure (RHF) is a vexing problem in children after left ventricular assist device (LVAD) implantation that can negatively impact transplant candidacy and survival. Anticipation, prevention, early identification and appropriate medical and device management of RHF are important to successful LVAD outcomes. However, there is limited pediatric evidence to guide practice. This pediatric-focused review summarizes the relevant literature and describes the harmonized approach to RHF from the Advanced Cardiac Therapies Improving Outcomes Network (ACTION). This review seeks to improve RHF outcomes through the sharing of best practices and experience across the pediatric VAD community.
右心衰竭（RHF）是左心室辅助装置（LVAD）植入后儿童面临的一个棘手问题，可能会对移植候选资格和生存产生负面影响。对 RHF 的预期、预防、早期识别以及适当的医疗和设备管理对于成功的 LVAD 结果非常重要。然而，指导实践的儿科证据有限。本次以儿科为重点的综述总结了相关文献，并描述了高级心脏治疗改善预后网络（ACTION）对 RHF 的协调方法。本次综述旨在通过在儿科 VAD 社区内分享最佳实践和经验来改善 RHF 结果。
