{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T16:01:11Z","timestamp":1767542471882,"version":"3.48.0"},"reference-count":30,"publisher":"Akademiai Kiado Zrt.","issue":"1","license":[{"start":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T00:00:00Z","timestamp":1767484800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,1,4]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    V\u00e9gst\u00e1dium\u00fa sz\u00edvel\u00e9gtelens\u00e9gben a mechanikus\n                    kering\u00e9st\u00e1mogat\u00f3 eszk\u00f6z\u00f6k kulcsfontoss\u00e1g\u00faak a betegek \u00e1llapot\u00e1nak\n                    stabiliz\u00e1l\u00e1s\u00e1ban \u00e9s a sz\u00edvtranszplant\u00e1ci\u00f3ra val\u00f3 felk\u00e9sz\u00edt\u00e9sben. Ezek az\n                    eszk\u00f6z\u00f6k jelent\u0151sen cs\u00f6kkentik a v\u00e1r\u00f3lista-mortalit\u00e1st, k\u00fcl\u00f6n\u00f6sen\n                    gyermekpopul\u00e1ci\u00f3ban, amelyn\u00e9l a donorhi\u00e1ny \u00e9s a kezel\u00e9si neh\u00e9zs\u00e9gek nagy\n                    kih\u00edv\u00e1st jelentenek.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    Vizsg\u00e1latunk c\u00e9lja a\n                    gyermekkorban alkalmazott hossz\u00fa t\u00e1v\u00fa kering\u00e9st\u00e1mogat\u00f3 eszk\u00f6z\u00f6k hazai\n                    tapasztalatainak \u00f6sszegz\u00e9se, eredm\u00e9nyeink \u00f6sszehasonl\u00edt\u00e1sa a nemzetk\u00f6zi\n                    adatokkal.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    Retrospekt\u00edv elemz\u00e9s sor\u00e1n 2008 \u00e9s 2025\n                    k\u00f6z\u00f6tt 27 gyermekn\u00e9l be\u00fcltetett kamrai kering\u00e9st\u00e1mogat\u00f3 eszk\u00f6z\u00f6k adatait\n                    vizsg\u00e1ltuk. A betegeket pulzatilis \u00e9s folyamatos \u00e1raml\u00e1st biztos\u00edt\u00f3 eszk\u00f6z\u00f6kkel\n                    t\u00e1mogatott csoportokra osztottuk. Elemz\u00e9st v\u00e9gezt\u00fcnk az antropometriai adatok, a\n                    klinikai \u00e1llapot (INTERMACS-status), a szervperf\u00fazi\u00f3, valamint a perioperat\u00edv \u00e9s\n                    a hossz\u00fa t\u00e1v\u00fa kimenetel vonatkoz\u00e1s\u00e1ban.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A 27\n                    vizsg\u00e1lt gyermek \u00e1tlag\u00e9letkora 9,14 \u00e9v, \u00e1tlagos tests\u00falyuk 36,6 kg, \u00e1tlagos\n                    magass\u00e1guk 130 cm volt. A mechanikus t\u00e1mogat\u00e1s \u00e1tlagos id\u0151tartama 217 nap volt,\n                    amely a pulzatilis eszk\u00f6z\u00f6kkel kezelt csoportban szignifik\u00e1nsan r\u00f6videbbnek\n                    bizonyult a folyamatos \u00e1raml\u00e1s\u00fa eszk\u00f6z\u00f6kkel kezelt betegekhez k\u00e9pest (141\n                    <jats:italic>vs.<\/jats:italic>\n                    312 nap, p = 0,009). A pulzatilis csoport fiatalabb \u00e9s\n                    kisebb testt\u00f6meg\u0171 betegekb\u0151l \u00e1llt (5,3\n                    <jats:italic>vs.<\/jats:italic>\n                    13,9 \u00e9v, p&lt;0,001;\n                    21\n                    <jats:italic>vs.<\/jats:italic>\n                    56 kg, p&lt;0,001). A betegek t\u00f6bb mint 70%-a sikeresen\n                    jutott el sz\u00edvtranszplant\u00e1ci\u00f3ig, a pulzatilis csoportban 66%, a folyamatos\n                    \u00e1raml\u00e1s\u00fa csoportban 83%-os ar\u00e1nyban. A folyamatos \u00e1raml\u00e1s\u00fa eszk\u00f6z\u00f6k eset\u00e9ben\n                    kisebb volt a komplik\u00e1ci\u00f3s ar\u00e1ny (33%\n                    <jats:italic>vs.<\/jats:italic>\n                    60%), valamint\n                    kevesebb volt az intenz\u00edv oszt\u00e1lyos l\u00e9gz\u00e9st\u00e1mogat\u00e1s sz\u00fcks\u00e9gess\u00e9ge (6\n                    <jats:italic>vs.<\/jats:italic>\n                    20 nap). A szervperf\u00fazi\u00f3 \u00e9s az immunol\u00f3giai\n                    szenzitiz\u00e1ci\u00f3 tekintet\u00e9ben nem tal\u00e1ltunk szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9get. A\n                    transzplant\u00e1ci\u00f3t k\u00f6vet\u0151en mindk\u00e9t csoportban kev\u00e9s volt a kil\u00f6k\u0151d\u00e9s, \u00e9s ar\u00e1nyuk\n                    hasonl\u00f3 volt.\n                    <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic>\n                    A mechanikus kering\u00e9st\u00e1mogat\u00e1s\n                    jelent\u0151s el\u0151rel\u00e9p\u00e9st jelent a sz\u00edvel\u00e9gtelen gyermekek kezel\u00e9s\u00e9ben. A folyamatos\n                    \u00e1raml\u00e1s\u00fa eszk\u00f6z\u00f6k kedvez\u0151bb sz\u00f6v\u0151dm\u00e9nyprofilt mutattak. A kisebb testt\u00f6meg\u0171\n                    betegek k\u00f6r\u00e9ben (p\u00e9ld\u00e1ul 1 \u00e9v alattiakn\u00e1l) m\u00e9g mindig jelent\u0151s rizik\u00f3k \u00e1llnak\n                    fenn, ami r\u00e9szben a technol\u00f3gia \u00e9s a ter\u00e1pi\u00e1s protokollok fejl\u0151d\u00e9s\u00e9nek korl\u00e1tait\n                    t\u00fckr\u00f6zi.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    A mechanikus kering\u00e9st\u00e1mogat\u00f3 eszk\u00f6z\u00f6k\n                    hazai alkalmaz\u00e1sa gyermekkorban hat\u00e9kony, \u00e9s lehet\u0151v\u00e9 teszi a betegek sikeres\n                    sz\u00edvtranszplant\u00e1ci\u00f3j\u00e1t. A folyamatos \u00e1raml\u00e1s\u00fa eszk\u00f6z\u00f6k a kisebb komplik\u00e1ci\u00f3s\n                    ar\u00e1nyuk \u00e9s otthoni ell\u00e1t\u00e1si lehet\u0151s\u00e9g\u00fck miatt el\u0151ny\u00f6sebbek. Nagyobb betegsz\u00e1m\u00fa,\n                    prospekt\u00edv vizsg\u00e1latok sz\u00fcks\u00e9gesek a kimenetel tov\u00e1bbi jav\u00edt\u00e1s\u00e1hoz. Orv Hetil.\n                    2026; 167(1): 30\u201336.\n                  <\/jats:p>","DOI":"10.1556\/650.2026.33440","type":"journal-article","created":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T15:57:45Z","timestamp":1767542265000},"page":"30-36","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Hossz\u00fa t\u00e1v\u00fa eszk\u00f6z\u00f6s kering\u00e9st\u00e1mogat\u00e1s gyermekkorban Magyarorsz\u00e1gon"],"prefix":"10.1556","volume":"167","author":[{"given":"Csaba","family":"Vilm\u00e1nyi","sequence":"first","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet, Gyermeksz\u00edv K\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0396-043X","authenticated-orcid":true,"given":"S. Gy\u00f6rgy","family":"Reusz","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika Budapest, B\u00f3kay J. u. 53\u201354., 1083) Magyarorsz\u00e1g"},{"name":"HUN-REN\u2013SE Gyermekgy\u00f3gy\u00e1szati \u00e9s Nephrol\u00f3giai Kutat\u00f3csoport Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"F\u00e9s\u00fcs","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet, Gyermeksz\u00edv K\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Ablonczy","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet, Gyermeksz\u00edv K\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Watanabe K, Shih R. 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