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PERCUTANEOUS OXYGENATOR FOR INDUCING A RETROGRADE PERFUSION OF OXYGENATED BLOOD

机译:经皮充氧器引起充血的逆向灌注

摘要

A percutaneous oxygenator is used to induce a retrograde perfusion of oxygenated blood in a vein to a compromised organ (e.g., to the brain following a stroke, or to the heart following a heart attack). The oxygenator (10) has an occluding balloon (25) and an oxygenation balloon (20) located upstream from the occluding balloon (25). A plurality of hollow gas-permeable fibers (14) surrounds the oxygenation balloon (20). The oxygenator (10) is inserted into a vein (84) downstream from the compromised organ. An external supply of air/oxygen is connected to create a flow through the fibers (14) and thereby oxygenate blood in the surrounding vein. A retrograde flow of oxygenated blood is induced in the vein to the compromised organ by first inflating the occluding balloon (25) to occlude the vein and then inflating the oxygenation balloon (20). Both balloons (25, 20) are then deflated to permit the normal antegrade flow of blood through the vein. This process of inflation and deflation is periodically repeated at a rate of about 30 to 60 cycles per minute. The percutaneous oxygenator (10) may be equipped with multiple occluding balloons for blocking several branches of the venous system leading from the compromised organ.
机译:经皮充氧器用于在静脉内向受损的器官(例如中风后向大脑或心脏病发作后向心脏)逆行灌注含氧血液。充氧器(10)具有闭塞气囊(25)和位于闭塞气囊(25)上游的充氧气囊(20)。多个中空的透气性纤维(14)围绕充氧气囊(20)。将充氧器(10)插入受损器官下游的静脉(84)中。连接外部空气/氧气以产生通过纤维(14)的流动,从而使周围静脉中的血液充氧。通过首先使闭塞球囊(25)膨胀以使静脉闭塞,然后使氧合球囊(20)膨胀,从而在静脉中向受损的器官中引入逆行的氧合血液。然后将两个气球(25、20)放气以允许正常的顺行血流经静脉。充气和放气的过程以每分钟约30至60个循环的速率周期性地重复进行。经皮充氧器(10)可配备有多个阻塞球囊,用于阻塞从受损器官引出的静脉系统的多个分支。

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