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Continuously Maintaining Positive Flow Avoids Endocardial Suction of a Rotary Blood Pump with Left Ventricular Bypass

Identifieur interne : 001826 ( Istex/Corpus ); précédent : 001825; suivant : 001827

Continuously Maintaining Positive Flow Avoids Endocardial Suction of a Rotary Blood Pump with Left Ventricular Bypass

Auteurs : Takehide Akimoto ; Kenji Yamazaki ; Philip Litwak ; Kenneth N. Litwak ; Osamu Tagusari ; Toshio Mori ; James F. Antaki ; Marina V. Kameneva ; Mary J. Watach ; Mitsuo Umezu ; Jun Tomioka ; Robert L. Kormos ; Hitoshi Koyanagi ; Bartley P. Griffith

Source :

RBID : ISTEX:68B4D57334E05222ED2FC19DF86C4C311482C783

English descriptors

Abstract

Abstract: This study showed the usefulness of maintaining positive pump flow to avoid endocardial suction and as an assist bypass. Three calves were implanted with centrifugal pumps. Hemodynamics and pump parameters were measured at varying pump speeds (from 1,100 to 2,300 rpm). In each test pump, speed was adjusted to create 3 hemodynamic states: both positive and negative flow (PNF), positive and zero flow (PZF), and continuously positive flow (CPF). The pump flow volume was determined during systole (Vs) and diastole (Vd). Vs in PNF was 29.6 ml and was not significantly different from Vs in PZF (p > 0.15). Vd in PNF was significantly different from Vd in PZF (p < 0.05). All bypass rates of PNF were over 30% of pulmonary flow. All PZF bypass rates were between the PNF rate and the CPF rate. These data showed that PZF satisfied the minimum requirement of assist flow and was under 100% bypass. Thus, PZF may avoid endocardial suction.

Url:
DOI: 10.1046/j.1525-1594.2000.06581.x

Links to Exploration step

ISTEX:68B4D57334E05222ED2FC19DF86C4C311482C783

Le document en format XML

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<div type="abstract">Abstract: This study showed the usefulness of maintaining positive pump flow to avoid endocardial suction and as an assist bypass. Three calves were implanted with centrifugal pumps. Hemodynamics and pump parameters were measured at varying pump speeds (from 1,100 to 2,300 rpm). In each test pump, speed was adjusted to create 3 hemodynamic states: both positive and negative flow (PNF), positive and zero flow (PZF), and continuously positive flow (CPF). The pump flow volume was determined during systole (Vs) and diastole (Vd). Vs in PNF was 29.6 ml and was not significantly different from Vs in PZF (p > 0.15). Vd in PNF was significantly different from Vd in PZF (p < 0.05). All bypass rates of PNF were over 30% of pulmonary flow. All PZF bypass rates were between the PNF rate and the CPF rate. These data showed that PZF satisfied the minimum requirement of assist flow and was under 100% bypass. Thus, PZF may avoid endocardial suction.</div>
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<affiliation>Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.;</affiliation>
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<namePart type="given">Hitoshi</namePart>
<namePart type="family">Koyanagi</namePart>
<affiliation>Department of Cardiovascular Surgery, Tokyo Women's Medical College, Tokyo;</affiliation>
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<name type="personal">
<namePart type="given">Bartley P.</namePart>
<namePart type="family">Griffith</namePart>
<affiliation>Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.;</affiliation>
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<dateIssued encoding="w3cdtf">2000-08-01</dateIssued>
<edition>Received December 1999.</edition>
<copyrightDate encoding="w3cdtf">2000</copyrightDate>
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<abstract>Abstract: This study showed the usefulness of maintaining positive pump flow to avoid endocardial suction and as an assist bypass. Three calves were implanted with centrifugal pumps. Hemodynamics and pump parameters were measured at varying pump speeds (from 1,100 to 2,300 rpm). In each test pump, speed was adjusted to create 3 hemodynamic states: both positive and negative flow (PNF), positive and zero flow (PZF), and continuously positive flow (CPF). The pump flow volume was determined during systole (Vs) and diastole (Vd). Vs in PNF was 29.6 ml and was not significantly different from Vs in PZF (p > 0.15). Vd in PNF was significantly different from Vd in PZF (p < 0.05). All bypass rates of PNF were over 30% of pulmonary flow. All PZF bypass rates were between the PNF rate and the CPF rate. These data showed that PZF satisfied the minimum requirement of assist flow and was under 100% bypass. Thus, PZF may avoid endocardial suction.</abstract>
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<genre>keywords</genre>
<topic>Left ventricular assist device</topic>
<topic>Centrifugal blood pump</topic>
<topic>Hemodynamics</topic>
<topic>Regurgitate flow</topic>
<topic>Endocardial suction‐pump flow volume</topic>
</subject>
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<title>Artificial Organs</title>
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<title>Artificial Organs</title>
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<identifier type="ISSN">0160-564X</identifier>
<identifier type="eISSN">1525-1594</identifier>
<identifier type="DOI">10.1111/(ISSN)1525-1594</identifier>
<identifier type="PublisherID">AOR</identifier>
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<date>2000</date>
<detail type="volume">
<caption>vol.</caption>
<number>24</number>
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<caption>no.</caption>
<number>8</number>
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<end>610</end>
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<identifier type="istex">68B4D57334E05222ED2FC19DF86C4C311482C783</identifier>
<identifier type="ark">ark:/67375/WNG-86RGJKS9-M</identifier>
<identifier type="DOI">10.1046/j.1525-1594.2000.06581.x</identifier>
<identifier type="ArticleID">AOR6581</identifier>
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<recordOrigin>Blackwell Science Inc</recordOrigin>
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   |texte=   Continuously Maintaining Positive Flow Avoids Endocardial Suction of a Rotary Blood Pump with Left Ventricular Bypass
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