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Detection and Avoiding Ventricular Suction of Ventricular Assist Devices

机译:检测和避免心室辅助装置的心室吸引

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Continuous flow blood pumps, such as axial flow and centrifugal pumps, have been gaining interest as circulatory devices for total artificial hearts (TAHs) and a biventricular assist device (BVAD) because of their smaller size and simpler structure compared to pulsatile pumps. However, continuous flow pumps are more prone to suction of the left ventricle than pulsatile pumps are. Sudden increases in flow rate to meet changes in physiological demand, especially in the left pump, often cause ventricle suction. In this study, a control algorithm to prevent suction from occurring in the left ventricle by controlling the rotational speed of the right pump, instead of reducing the cardiac output of the left pump, was developed and investigated. The method was tested in acute animal experiments with calves. The results indicate that this proposed method is capable of preventing suction and could simultaneously maintain circulatory control. A key advantage of this control system is that flow rates can be maximized while avoiding ventricle suction conditions particularly when the circulatory system is unstable such as in a the first few days after operation.
机译:连续流血泵(例如轴流泵和离心泵)作为全人工心脏(TAH)的循环装置和双心室辅助装置(BVAD)引起了人们的兴趣,这是因为与脉动泵相比,它们的体积更小且结构更简单。但是,与脉动泵相比,连续流泵更容易吸引左心室。流量突然增加以满足生理需求的变化,尤其是在左泵中,通常会导致心室吸引。在这项研究中,开发并研究了一种控制算法,该算法通过控制右泵的转速而不是降低左泵的心输出量来防止在左心室发生抽吸。该方法已在小牛的急性动物实验中进行了测试。结果表明,该方法能够防止吸气,并能同时保持循环控制。该控制系统的主要优势在于,可以最大程度地提高流量,同时避免心室吸引情况,尤其是在循环系统不稳定(例如在手术后的头几天)的情况下。

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