For smaller pediatric patients on ventricular assist devices, the Berlin Heart EXCOR remains the main form of durable support. It requires a connection to the external IKUS, which has limited portability and battery life. The new EXCOR Active mobile driving unit has a battery life of up to 13 hours. We describe the first North American experience with the EXCOR Active in pediatric patients with a Berlin Heart device. A retrospective chart review was undertaken. Between October 2022 and March 2024, 7 patients were on a Berlin Heart and supported with the EXCOR Active. All patients were initially supported with the IKUS with a median time to transition to the EXCOR Active of 12.0 days (interquartile range [IQR] 9.5, 18.5) and a median time of support with the EXCOR Active of 65.0 days (IQR, 32.0, 81.0). The EXCOR Active posed no significant safety issues, and minimal operating issues were noted. Following the transition from IKUS to the EXCOR Active, there was increased patient and caregiver mobility throughout the hospital. Use of the EXCOR Active has the potential to improve the quality of life in pediatric patients waiting for heart transplantation.

中文翻译：

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首次在北美体验 Berlin Heart EXCOR Active 驾驶员。


对于使用心室辅助装置的体型较小的儿科患者，Berlin Heart EXCOR 仍然是持久支持的主要形式。它需要连接到外部 IKUS，而外部 IKUS 的便携性和电池寿命有限。新型 EXCOR Active 移动驱动单元的电池续航时间长达 13 小时。我们描述了 EXCOR Active 在北美首次在使用 Berlin Heart 装置的儿科患者中的体验。进行了回顾性图表审查。2022 年 10 月至 2024 年 3 月期间，7 名患者接受了 Berlin Heart 治疗，并得到了 EXCOR Active 的支持。所有患者最初都接受了 IKUS 的支持，过渡到 EXCOR Active 的中位时间为 12.0 天 （四分位距 [IQR] 9.5、18.5），EXCOR Active 的中位支持时间为 65.0 天 （IQR， 32.0， 81.0）。EXCOR Active 没有造成重大的安全问题，并且注意到的操作问题最少。从 IKUS 过渡到 EXCOR Active 后，整个医院的患者和护理人员的流动性有所增加。使用 EXCOR Active 有可能改善等待心脏移植的儿科患者的生活质量。