Decreased Risk of Strokes in Children with Ventricular Assist Devices Within ACTION.
Pediatr Cardiol
; 43(6): 1379-1382, 2022 Aug.
Article
in En
| MEDLINE
| ID: mdl-35247057
ABSTRACT
We sought to characterize strokes in children with ventricular assist devices. Of 407 patients in the ACTION registry (4/1/18-5/3/2021), 45 (11%) experienced 52 strokes (45 ischemic and 7 hemorrhagic). Median time to stroke was 23.5 days and 19/52 (37%) occurred ≤ 10 days. Stroke rate was 0.09 and 0.63 strokes per patient-year for implantable continuous and paracorporeal devices, respectively. Patients with stroke were younger, more likely to have congenital heart disease and have been on extracorporeal membrane oxygenation at time of VAD. Based on these data, ACTION is now focused on decreasing strokes in these higher-risk patients with particular attention to the peri-implant period.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
Extracorporeal Membrane Oxygenation
/
Heart-Assist Devices
/
Stroke
/
Heart Failure
Type of study:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Child
/
Humans
Language:
En
Year:
2022
Type:
Article