Research and application progress of mechanical circulatory support devices for univentricular circulation_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HAN Lu ,  WANG Wei

Department of Pediatric Thoracic and Cardiovascular Surgery, Shanghai Children’s Medical Center, Shanghai Jiaotong University, School of Medicine, Shanghai, 200127, P.R.China;

Corresponding author：

WANG Wei, Email: wangwei@scmc.com.cn

Keywords：

Mechanical circulatory support; univentricular circulation; failed Fontan circulation; single ventricle physiology

DOI：

10.7507/1007-4848.201709021

Video：

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The single ventricular circulation is notable for coexisting systemic venous hypertension and pulmonary arterial hypotension. The use of mechanical circulatory support (MCS) devices is a viable therapeutic treatment option for patients with congestive heart failure. Ventricular assisted devices, cavopulmonary assisted devices, and total artificial heart pumps continue to gain acceptance as viable treatment strategies for single ventricular physiology patients as bridge-to transplantation, bridge-to-recovery, and longer-term circulatory support alternatives. Patients with single ventricular physiology had the lower survival rates compared with those with biventricular circulation. We present a review of the current and future MCS devices for patients with univentricular circulations.

Citation： HAN Lu, WANG Wei. Research and application progress of mechanical circulatory support devices for univentricular circulation. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(3): 249-255. doi: 10.7507/1007-4848.201709021 Copy

1.	Rihal CS, Naidu SS, Givertz MM, et al. 2015 SCAI/ACC/HFSA/STS Clinical expert consensus statement on the use of percutaneous mechanical circulatory support devices in cardiovascular care: endorsed by the American Heart Assocation, the Cardiological Society of India, and Sociedad Latino Americana de Cardiologia Intervencion; Affirmation of Value by the Canadian Association of Interventional Cardiology-Association Canadienne de Cardiologie d'intervention. J Am Coll Cardiol, 2015, 65(19): e7-e26.
2.	Ferrari M, Kruzliak P, Spiliopoulos K. An insight into short- and long-term mechanical circulatory support systems. Clin Res Cardiol, 2015, 104(2): 95-111.
3.	Wang D, Plunkett M, Gao G, et al. A practical and less invasive total cavopulmonary connection sheep model. ASAIO J, 2014, 60(2): 178-182.
4.	Wang D, Gao G, Plunkett M, et al. A paired membrane umbrella double-lumen cannula ensures consistent cavopulmonary assistance in a Fontan sheep model. J Thorac Cardiovasc Surg, 2014, 148(3): 1041-1047.
5.	Merrill ED, Schoeneberg L, Sandesara P, et al. Outcomes after prolonged extracorporeal membrane oxygenation support in children with cardiac disease-Extracorporeal Life Support Organization registry study. J Thorac Cardiovasc Surg, 2014, 148(2): 582-588.
6.	Rossano JW, Goldberg DJ, Fuller S, et al. Successful use of the total artificial heart in the failing Fontan circulation. Ann Thorac Surg, 2014, 97(4): 1438-1440.
7.	Derk G, Laks H, Biniwale R, et al. Novel techniques of mechanical circulatory support for the right heart and Fontan circulation. Int J Cardiol, 2014, 176(3): 828-832.
8.	Niebler RA, Ghanayem NS, Shah TK, et al. Use of a HeartWare ventricular assist device in a patient with failed Fontan circulation. Ann Thorac Surg, 2014, 97(4): e115-e116.
9.	Haggerty CM, Whitehead KK, Bethel J, et al. Relationship of single ventricle filling and preload to total cavopulmonary connection hemodynamics. Ann Thorac Surg, 2015, 99(3): 911-917.
10.	Weinstein S, Bello R, Pizarro C, et al. The use of the Berlin Heart EXCOR in patients with functional single ventricle. J Thorac Cardiovasc Surg, 2014, 147(2): 697-704.
11.	Padalino MA, Bottio T, Tarzia V, et al. HeartWare ventricular assist device as bridge to transplant in children and adolescents. Artif Organs, 2014, 38(5): 418-422.
12.	Wei X, Sanchez PG, Liu Y, et al. Mechanical circulatory support of a univentricular Fontan circulation with a continuous axial-flow pump in a piglet model. ASAIO J, 2015, 61(2): 196-201.
13.	Zhu J, Kato H, Fu YY, et al. Cavopulmonary support with a microaxial pump for the failing Fontan physiology. ASAIO J, 2015, 61(1): 49-54.
14.	Sinha P, Deutsch N, Ratnayaka K, et al. Effect of mechanical assistance of the systemic ventricle in single ventricle circulation with cavopulmonary connection. J Thorac Cardiovasc Surg, 2014, 147(4): 1271-1275.
15.	Chopski SG, Moskowitz WB, Stevens RM, et al. Mechanical circulatory support devices for pediatric patients with congenital heart disease. Artif Organs, 2017, 41(1): E1-E14.
16.	de By TM, Mohacsi P, Gummert J, et al. The European Registry for Patients with Mechanical Circulatory Support (EUROMACS): first annual report. Eur J Cardiothorac Surg, 2015, 47(5): 770-776.
17.	Grady KL, Naftel DC, Myers S, et al. Change in health-related quality of life from before to after destination therapy mechanical circulatory support is similar for older and younger patients: analyses from INTERMACS. J Heart Lung Transplant, 2015, 34(2): 213-221.
18.	Sandhu A, McCoy LA, Negi SI, et al. Use of mechanical circulatory support in patients undergoing percutaneous coronary intervention: insights from the National Cardiovascular Data Registry. Circulation, 2015, 132(13): 1243-1251.
19.	Cook JL, Colvin M, Francis GS, et al. Recommendations for the use of mechanical circulatory support: ambulatory and community patient care: a scientific statement from the American Heart Association. Circulation, 2017, 135(25): e1145-e1158.
20.	Adachi I, Jaquiss RD. Mechanical circulatory support in children. Curr Cardiol Rev, 2015, 8(10):132-140.
21.	Ensminger SM, Gerosa G, Gummert JF, et al. Mechanical Circulatory Support: Heart Failure Therapy "in Motion". Innovations (Phila), 2016, 11(5): 305-314.
22.	Sandica E, Blanz U, Mime LB, et al. Long-term mechanical circulatory support in pediatric patients. Artif Organs, 2016, 40(3): 225-232.
23.	Chaanine AH, Pinney SP. Mechanical Circulatory Support as a Bridge to Heart Transplantation. Eisen H, Chief editor. In Heart Failure. London: Springer, 2017. 639-663.
24.	Lorts A, Blume ED. Pediatric mechanical circulatory support: available devices and outcomes as bridge-to-transplant therapy. Curr Opin Organ Transplant, 2015, 20(5): 557-561.
25.	Thomas SS, Jorde UP. Medical management of the patient with chronic mechanical circulatory support. heart failure. Eisen H, Chief editor. In Heart Failure. London: Springer, 2017. 665-690.
26.	Yoshioka D, Li B, Takayama H, et al. Outcome of heart transplantation after bridge-to-transplant strategy using various mechanical circulatory support devices. Interact Cardiovasc Thorac Surg, 2017, 25(6): 918-924.
27.	Shah KB, Kwakkel-van Erp JM, Migliore C, et al. Scientific progress in heart and lung failure, mechanical circulatory support, and transplantation: highlights from the Journal of Heart and Lung Transplantation. J Heart Lung Transplant, 2014, 33(3): 223-228.
28.	Uribarri A, Rojas SV, Avsar M, et al. First series of mechanical circulatory support in non-compaction cardiomyopathy: Is LVAD implantation a safe alternative? Int J Cardiol, 2015, 197: 128-132.
29.	Shimizu M, Nishinaka T, Inai K, et al. Outcomes in children with advanced heart failure in Japan: importance of mechanical circulatory support. Heart Vessels, 2016, 31(7): 1162-1167.
30.	Rezaienia MA, Rahideh A, Alhosseini Hamedani B, et al. Numerical and in vitro investigation of a novel mechanical circulatory support device installed in the descending aorta. Artif Organs, 2015, 39(6): 502-513.
31.	Abnousi F, Yong CM, Fearon W, et al. The evolution of temporary percutaneous mechanical circulatory support devices: a review of the options and evidence in cardiogenic shock. Curr Cardiol Rep, 2015, 17(6): 40.
32.	Levin AP, Jaramillo N, Garan AR, et al. Outcomes of contemporary mechanical circulatory support device configurations in patients with severe biventricular failure. J Thorac Cardiovasc Surg, 2016, 151(2): 530-535.
33.	Hetzer R, Kaufmann MEng F, Potapov E, et al. Rotary blood pumps as long-term mechanical circulatory support: a review of a 15-year berlin experience. Semin Thorac Cardiovasc Surg, 2016, 28(1): 12-23.
34.	Meredith AJ, Dai DL, Chen V, et al. Circulating biomarker responses to medical management vs. mechanical circulatory support in severe inotrope-dependent acute heart failure. ESC Heart Fail, 2016, 3(2): 86-96.
35.	Park JB, Kwak JG, Lim HG, et al. Experience with mechanical circulatory support for medically intractable low cardiac output in a pediatric intensive care unit. Korean Circ J, 2017, 47(4): 490-500.

1. Rihal CS, Naidu SS, Givertz MM, et al. 2015 SCAI/ACC/HFSA/STS Clinical expert consensus statement on the use of percutaneous mechanical circulatory support devices in cardiovascular care: endorsed by the American Heart Assocation, the Cardiological Society of India, and Sociedad Latino Americana de Cardiologia Intervencion; Affirmation of Value by the Canadian Association of Interventional Cardiology-Association Canadienne de Cardiologie d'intervention. J Am Coll Cardiol, 2015, 65(19): e7-e26.
2. Ferrari M, Kruzliak P, Spiliopoulos K. An insight into short- and long-term mechanical circulatory support systems. Clin Res Cardiol, 2015, 104(2): 95-111.
3. Wang D, Plunkett M, Gao G, et al. A practical and less invasive total cavopulmonary connection sheep model. ASAIO J, 2014, 60(2): 178-182.
4. Wang D, Gao G, Plunkett M, et al. A paired membrane umbrella double-lumen cannula ensures consistent cavopulmonary assistance in a Fontan sheep model. J Thorac Cardiovasc Surg, 2014, 148(3): 1041-1047.
5. Merrill ED, Schoeneberg L, Sandesara P, et al. Outcomes after prolonged extracorporeal membrane oxygenation support in children with cardiac disease-Extracorporeal Life Support Organization registry study. J Thorac Cardiovasc Surg, 2014, 148(2): 582-588.
6. Rossano JW, Goldberg DJ, Fuller S, et al. Successful use of the total artificial heart in the failing Fontan circulation. Ann Thorac Surg, 2014, 97(4): 1438-1440.
7. Derk G, Laks H, Biniwale R, et al. Novel techniques of mechanical circulatory support for the right heart and Fontan circulation. Int J Cardiol, 2014, 176(3): 828-832.
8. Niebler RA, Ghanayem NS, Shah TK, et al. Use of a HeartWare ventricular assist device in a patient with failed Fontan circulation. Ann Thorac Surg, 2014, 97(4): e115-e116.
9. Haggerty CM, Whitehead KK, Bethel J, et al. Relationship of single ventricle filling and preload to total cavopulmonary connection hemodynamics. Ann Thorac Surg, 2015, 99(3): 911-917.
10. Weinstein S, Bello R, Pizarro C, et al. The use of the Berlin Heart EXCOR in patients with functional single ventricle. J Thorac Cardiovasc Surg, 2014, 147(2): 697-704.
11. Padalino MA, Bottio T, Tarzia V, et al. HeartWare ventricular assist device as bridge to transplant in children and adolescents. Artif Organs, 2014, 38(5): 418-422.
12. Wei X, Sanchez PG, Liu Y, et al. Mechanical circulatory support of a univentricular Fontan circulation with a continuous axial-flow pump in a piglet model. ASAIO J, 2015, 61(2): 196-201.
13. Zhu J, Kato H, Fu YY, et al. Cavopulmonary support with a microaxial pump for the failing Fontan physiology. ASAIO J, 2015, 61(1): 49-54.
14. Sinha P, Deutsch N, Ratnayaka K, et al. Effect of mechanical assistance of the systemic ventricle in single ventricle circulation with cavopulmonary connection. J Thorac Cardiovasc Surg, 2014, 147(4): 1271-1275.
15. Chopski SG, Moskowitz WB, Stevens RM, et al. Mechanical circulatory support devices for pediatric patients with congenital heart disease. Artif Organs, 2017, 41(1): E1-E14.
16. de By TM, Mohacsi P, Gummert J, et al. The European Registry for Patients with Mechanical Circulatory Support (EUROMACS): first annual report. Eur J Cardiothorac Surg, 2015, 47(5): 770-776.
17. Grady KL, Naftel DC, Myers S, et al. Change in health-related quality of life from before to after destination therapy mechanical circulatory support is similar for older and younger patients: analyses from INTERMACS. J Heart Lung Transplant, 2015, 34(2): 213-221.
18. Sandhu A, McCoy LA, Negi SI, et al. Use of mechanical circulatory support in patients undergoing percutaneous coronary intervention: insights from the National Cardiovascular Data Registry. Circulation, 2015, 132(13): 1243-1251.
19. Cook JL, Colvin M, Francis GS, et al. Recommendations for the use of mechanical circulatory support: ambulatory and community patient care: a scientific statement from the American Heart Association. Circulation, 2017, 135(25): e1145-e1158.
20. Adachi I, Jaquiss RD. Mechanical circulatory support in children. Curr Cardiol Rev, 2015, 8(10):132-140.
21. Ensminger SM, Gerosa G, Gummert JF, et al. Mechanical Circulatory Support: Heart Failure Therapy "in Motion". Innovations (Phila), 2016, 11(5): 305-314.
22. Sandica E, Blanz U, Mime LB, et al. Long-term mechanical circulatory support in pediatric patients. Artif Organs, 2016, 40(3): 225-232.
23. Chaanine AH, Pinney SP. Mechanical Circulatory Support as a Bridge to Heart Transplantation. Eisen H, Chief editor. In Heart Failure. London: Springer, 2017. 639-663.
24. Lorts A, Blume ED. Pediatric mechanical circulatory support: available devices and outcomes as bridge-to-transplant therapy. Curr Opin Organ Transplant, 2015, 20(5): 557-561.
25. Thomas SS, Jorde UP. Medical management of the patient with chronic mechanical circulatory support. heart failure. Eisen H, Chief editor. In Heart Failure. London: Springer, 2017. 665-690.
26. Yoshioka D, Li B, Takayama H, et al. Outcome of heart transplantation after bridge-to-transplant strategy using various mechanical circulatory support devices. Interact Cardiovasc Thorac Surg, 2017, 25(6): 918-924.
27. Shah KB, Kwakkel-van Erp JM, Migliore C, et al. Scientific progress in heart and lung failure, mechanical circulatory support, and transplantation: highlights from the Journal of Heart and Lung Transplantation. J Heart Lung Transplant, 2014, 33(3): 223-228.
28. Uribarri A, Rojas SV, Avsar M, et al. First series of mechanical circulatory support in non-compaction cardiomyopathy: Is LVAD implantation a safe alternative? Int J Cardiol, 2015, 197: 128-132.
29. Shimizu M, Nishinaka T, Inai K, et al. Outcomes in children with advanced heart failure in Japan: importance of mechanical circulatory support. Heart Vessels, 2016, 31(7): 1162-1167.
30. Rezaienia MA, Rahideh A, Alhosseini Hamedani B, et al. Numerical and in vitro investigation of a novel mechanical circulatory support device installed in the descending aorta. Artif Organs, 2015, 39(6): 502-513.
31. Abnousi F, Yong CM, Fearon W, et al. The evolution of temporary percutaneous mechanical circulatory support devices: a review of the options and evidence in cardiogenic shock. Curr Cardiol Rep, 2015, 17(6): 40.
32. Levin AP, Jaramillo N, Garan AR, et al. Outcomes of contemporary mechanical circulatory support device configurations in patients with severe biventricular failure. J Thorac Cardiovasc Surg, 2016, 151(2): 530-535.
33. Hetzer R, Kaufmann MEng F, Potapov E, et al. Rotary blood pumps as long-term mechanical circulatory support: a review of a 15-year berlin experience. Semin Thorac Cardiovasc Surg, 2016, 28(1): 12-23.
34. Meredith AJ, Dai DL, Chen V, et al. Circulating biomarker responses to medical management vs. mechanical circulatory support in severe inotrope-dependent acute heart failure. ESC Heart Fail, 2016, 3(2): 86-96.
35. Park JB, Kwak JG, Lim HG, et al. Experience with mechanical circulatory support for medically intractable low cardiac output in a pediatric intensive care unit. Korean Circ J, 2017, 47(4): 490-500.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Research and application progress of mechanical circulatory support devices for univentricular circulation

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