Document Detail


Autosynchronized systolic unloading during left ventricular assist with a centrifugal pump.
MedLine Citation:
PMID:  12579105     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The purpose of this study was to investigate how the inflow cannulation site of the left ventricular assist system with a centrifugal pump would influence cardiac function on failing heart models. METHODS: In 10 sheep, a left ventricular assist system was instituted by an outflow cannula in the descending aorta, two inflow cannulas in the left atrium and the left ventricle, and connecting those cannulas to a magnetically suspended centrifugal pump. A conductance catheter and a tipped micromanometer for monitoring the pressure-volume loop were also inserted into the left ventricle. Myocardial oxygen consumption was directly measured. Heart failure was induced by injection of microspheres into the left main coronary artery. The assist rate was varied from 0% to 100% at each inflow cannulation site. RESULTS: The pump flow with left ventricular cannulation increased during the systolic phase and decreased during the diastolic phase, whereas it was constant with left atrial cannulation. Ejection fraction with left atrial cannulation decreased as the assist rate increased, whereas that with left ventricular cannulation was maintained up to 75% assist. The external work with left atrial cannulation decreased gradually as the assist rate increased, whereas the external work with left ventricular cannulation did not decrease until the assist rate reached 75%. The myocardial oxygen consumption in both cannulations decreased proportionally as the assist rate increased; they were significantly less with left ventricular cannulation at the 100% assist rate than with left atrial cannulation. CONCLUSION: Left ventricular cannulation during left ventricular assistance maintains ejection fraction and effectively reduces oxygen consumption.
Authors:
Satoshi Kono; Kazunobu Nishimura; Takeshi Nishina; Sadatoshi Yuasa; Koji Ueyama; Chikuma Hamada; Teruaki Akamatsu; Masashi Komeda
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  125     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-02-11     Completed Date:  2003-03-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  353-60     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Japan.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Animals
Aorta / physiopathology
Blood Pressure
Centrifugation / instrumentation
Diastole
Disease Models, Animal*
Equipment Design
Heart Failure / metabolism,  physiopathology*,  therapy*
Heart-Assist Devices / standards*
Hemodynamics
Materials Testing
Microspheres
Myocardium / metabolism
Oxygen Consumption
Sheep
Stroke Volume*
Systole*
Ventricular Function, Left*
Ventricular Pressure*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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