Key Points for Pediatric Cardiology and Cardiac Surgery Practice

Key Points
Understand the cardiac diagnosis and strategy of palliation or treatment fully before deciding what VAD to place and where to place it
Choose devices and sites that minimize long-term vessel damage
Use intraprocedural vascular ultrasound anytime it is feasible
Minimize number of VAD lumens and do not dedicate lumens for blood draws
Do not forget about unusual or nonstandard routes of access
Avoid placing an upper extremity CVAD in patients with functionally univentricular physiology, especially in neonates and infants