Kidney replacement therapy in pediatric patients on mechanical circulatory support: challenges for the pediatric nephrologist
| العنوان: | Kidney replacement therapy in pediatric patients on mechanical circulatory support: challenges for the pediatric nephrologist |
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| المؤلفون: | Natasha Afonso, Ayse Akcan-Arikan, Sebastian C Tume, Jack F. Price, Alexandra Idrovo |
| المصدر: | Pediatric Nephrology. 36:1109-1117 |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Nephrology, medicine.medical_specialty, medicine.medical_treatment, 030232 urology & nephrology, 030204 cardiovascular system & hematology, 03 medical and health sciences, 0302 clinical medicine, Kidney Replacement Therapy, Internal medicine, medicine, Humans, Child, Intensive care medicine, Heart Failure, Heart transplantation, business.industry, Acute kidney injury, Acute Kidney Injury, medicine.disease, Renal Replacement Therapy, Pediatric nephrologist, Heart failure, Pediatrics, Perinatology and Child Health, Circulatory system, Heart Transplantation, Heart-Assist Devices, business, Destination therapy |
| الوصف: | The use of mechanical circulatory support (MCS) therapies in children with medically refractory cardiac failure has increased over the past two decades. With the growing experience and expertise, MCS is currently offered as a bridge to recovery or heart transplantation and in some cases even as destination therapy. Acute kidney injury (AKI) is common in patients with end-stage heart failure (ESHF). When severe AKI develops requiring kidney replacement therapy (KRT), these patients present unique challenges for the pediatric nephrology team. The use of KRT has not been adequately described in children with ESHF on the newer MCS. We also present original case series data from our center experience. The purpose of this review is to familiarize the reader with the current MCS technologies, approach to their selection, how they interact when combined with current KRT circuits, and distinguish similarities and differences. We will attempt to highlight the distinctive features of each technology, specifically focusing on growing trends in use of continuous-flow ventricular assist devices (CF-VAD) as it poses additional challenges to the pediatric nephrologist. |
| تدمد: | 1432-198X 0931-041X |
| DOI: | 10.1007/s00467-020-04605-4 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e0004f7af463f9504117566a7f99969a https://doi.org/10.1007/s00467-020-04605-4 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....e0004f7af463f9504117566a7f99969a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1432198X 0931041X |
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| DOI: | 10.1007/s00467-020-04605-4 |