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Unprecedented Study shows Berlin Heart device provides life-saving "bridge" for young children and babies
Date:8/8/2012

ailure," said Fraser. "When we sit with parents, we have real data to offer so they can make an informed decision. This is a giant step forward."

Children on the device can leave the intensive care unit and go to a regular hospital room where they receive rehabilitation and better nutrition while they wait for a transplant. While there are many such devices available for adults, development and approval of devices for children and especially for babies has lagged.

Prospective study

"This prospective trial is unprecedented because it was not a look back at how children on the device had fared but instead followed their clinical course from the device's implantation. The results were compared to those of children who received ECMO, the only other method of treatment," said Fraser, also chief of congenital heart surgery at Texas Children's.

"We thought we knew a lot about this device and how it worked, but the FDA was insistent that we conduct a trial and they were right. We did not know as much as we should about how the device performs in practice."

Higher survival rate

For example, he said the survival rate with the device is higher than anticipated and so was the stroke rate. While the stroke rate was of concern, residual effects from the stroke did not prevent most patients from receiving a transplant, the researchers note. 

The Berlin Heart is not totally implanted inside the body. Physicians insert cannulas, or flexible tubes, in the heart and they extend through the skin and connect to a small pump located outside the body. That pump, along with its computerized drive unit, maintains blood flow.

Fraser and his colleagues in the United States and Canada compared the outcomes for 48 children (infants to 16 years) who received the device between 2007 and 2010 to matched patients in a national registry for those patients supported by ECMO. They divided the patients who received the German-manufactured
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SOURCE Texas Children's Hospital
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