Pediatric Mechanical Circulatory Support

  • Katherine CashenEmail author
  • Swati Sehgal
  • Henry L. WaltersIII


Extracorporeal life support (ECLS) via extracorporeal membrane oxygenation (ECMO) and ventricular assist devices (VADs) has evolved as a therapeutic treatment option for the care of children with severe ventricular dysfunction, refractory to medical and/or surgical therapy. The American Heart Association currently includes ECLS in both the pediatric and the adult algorithms for refractory shock. In this chapter, we review indications for ECLS initiation, history, basic principles and management strategies, complications, and outcomes.


Extracorporeal life support (ECLS) Extracorporeal membrane oxygenation (ECMO) Ventricular assist device (VAD) Heart failure Acquired heart disease Congenital heart disease 


Conflicts of Interest

Disclosures: The authors have not disclosed any potential conflicts of interest.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Katherine Cashen
    • 1
    Email author
  • Swati Sehgal
    • 2
  • Henry L. WaltersIII
    • 3
  1. 1.Department of Pediatrics, Division of Critical Care Medicine, Children’s Hospital of MichiganWayne State University School of MedicineDetroitUSA
  2. 2.Department of Pediatrics, Division of Cardiology, Children’s Hospital of MichiganWayne State University School of MedicineDetroitUSA
  3. 3.Department of Cardiovascular Surgery, Children’s Hospital of Michigan, FTAWayne State University School of MedicineDetroitUSA

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