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Abstract:

Despite the trend in the use of electromechanical left ventricular assist devices (LVAD), the highly compact, long lasting, and endurance characteristics of the new pneumatic system has its place in the treatment of end-stage chronic heart failure. The ProCor Model 1 LVAD has an implantable pump which is small in size and has a double pusher plate design. The portable power pack is small, too. It is easy to carry, and it is synchronized to the ECG to pump during the patient's diastolic period. Constant driving conditions are set as follows: frequency rate, 60 bpm; systolic percentage, 25 (250 ms); dP/dt, 1,800 (45 ms) mm Hg · s; and driving pressure, 250 mm Hg to have a basic 3.500 L/min pump output for prolonged circulatory assistance. The 6 mm internal diameter (ID) percutaneous multipurpose pneumatic tube contains within its wall both a spiral of MP35N alloy wire connected to the myocardial lead for ECG sensing and a spiral serving as mass ready to be used for cardiac pacing with an external pacemaker when necessary. The aortic porcine bioprosthesis maintains the aortic root and the sinus ridge.

Registro:

Documento: Artículo
Título:Assisted circulation for end-stage chronic heart failure
Autor:Liotta, D.
Filiación:Consejo Nac. de Invest. Cie. y Tec., Facultad de Medicine, Universidad de Morón, Buenos Aires, Argentina
Consejo Nac. de Invest., Cie. y Tec., Facultad de Medicina, Universidad de Morón, 3 de Febrero Street 2025, (1428) Buenos Aires, Argentina
Palabras clave:Bioprostheses maintaining aortic root; Circulatory assistance; End-stage heart failure; Left ventricular assist device and cardiomyopathies; Left ventricular assist device and electrocardiogram synchronized; New pneumatic left ventricular assist device; animal experiment; animal model; animal tissue; aorta root; article; artificial heart pacemaker; assisted circulation; bioprosthesis; blood pump; controlled study; diastole; electrocardiogram; heart failure; life expectancy; nonhuman; pneumatic tool; priority journal; swine; Animals; Aorta; Biocompatible Materials; Blood Vessel Prosthesis; Electrocardiography; Heart Failure, Congestive; Heart-Assist Devices; Polyethylene Terephthalates; Prosthesis Implantation; Swine; Transducers, Pressure; Animalia; Suidae; Sus scrofa
Año:1998
Volumen:22
Número:3
Página de inicio:230
Página de fin:236
DOI: http://dx.doi.org/10.1046/j.1525-1594.1998.06106.x
Título revista:Artificial Organs
Título revista abreviado:Artif. Organs
ISSN:0160564X
CODEN:ARORD
CAS:Biocompatible Materials; Polyethylene Terephthalates
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0160564X_v22_n3_p230_Liotta

Referencias:

  • Liotta, D., Crawford, E.S., Cooley, D., De Bakey, M.E., Urquia, M., Feldman, L., Prolonged partial left ventricular bypass by means of an intrathoracic pump implanted in the left chest (1962) Trans Am Soc Artif Intern Organs, 8, p. 90
  • Liotta, D., Hall, C.W., Henly, W.S., Beall, A.C., Cooley, D.A., Debakey, M., Prolonged assisted circulation during and after cardiac or aortic surgery. I. Prolonged left ventricular bypass by means of an intrathoracic circulatory pump. II. Diastolic pulsation of the descending thoracic aorta (1963) Trans Am Soc Artif Intern Organs, 9, p. 182
  • Liotta, D., Hall, C.W., Henly, W.S., Beall, A.C., Cooley, D.A., Debakey, M., Prolonged Assisted circulation after cardiac or aortic surgery. Prolonged partial left ventricular bypass by means of intracorporeal circulation (1963) Am J Cardiol, 12, p. 399
  • Debakey, M.E., Left ventricular bypass pump for cardiac assistance. Clinical experience (1971) Am J Cardiol, 127, p. 3
  • Cooley, D.A., Liotta, D., Hallman, G.L., Bloodwell, R.D., Leachman, R.D., Milan, J.D., First human implantation of cardiac prosthesis for total replacement of the heart (1969) Trans Am Soc Artif Intern Organs, 15, p. 252
  • Cooley, D.A., Liotta, D., Hallman, G.L., Bloodwell, R.D., Leachman, R.D., Nora, J.D., Fernbach, D.J., Milan, J.D., Orthotopic cardiac prosthesis for two-staged cardiac replacement (1969) Am J Cardiol, 24, pp. 723-730
  • Affeld, K., Liotta, D., Leirner, A., Thoma, H., (1996) Cardiac Assist System for Chagas Myocarditis Patients, , Berlin: INCO-DC European Commission
  • Pinchete, L., Liotta, D., Sánchez, D., Nava, L., Pneumatic VAD parallel to left ventricle, correlation of pressures: Blood chamber end diastolic and compensatory chamber pressures (1997) XI World Congress of the International Society for Artificial Organs, , Providence. Rhode Island, U.S.A. June 29-July 1
  • Williams, D.B., Shapiro, P.A., Weinberg, A.D., Richards, A.F., Oz, M.C., (1997) Quality of Life and Caregiver Burden in LVAD, Heart Transplant and Heart Failure Patients, , New York, NY: International Center for Health Outcomes and Innovation Research. College of Physicians and Surgeons, Columbia University

Citas:

---------- APA ----------
(1998) . Assisted circulation for end-stage chronic heart failure. Artificial Organs, 22(3), 230-236.
http://dx.doi.org/10.1046/j.1525-1594.1998.06106.x
---------- CHICAGO ----------
Liotta, D. "Assisted circulation for end-stage chronic heart failure" . Artificial Organs 22, no. 3 (1998) : 230-236.
http://dx.doi.org/10.1046/j.1525-1594.1998.06106.x
---------- MLA ----------
Liotta, D. "Assisted circulation for end-stage chronic heart failure" . Artificial Organs, vol. 22, no. 3, 1998, pp. 230-236.
http://dx.doi.org/10.1046/j.1525-1594.1998.06106.x
---------- VANCOUVER ----------
Liotta, D. Assisted circulation for end-stage chronic heart failure. Artif. Organs. 1998;22(3):230-236.
http://dx.doi.org/10.1046/j.1525-1594.1998.06106.x