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Author:

Song, Zhiming (Song, Zhiming.) | Gu, Kaiyun (Gu, Kaiyun.) | Gao, Bin (Gao, Bin.) | Wan, Feng (Wan, Feng.) | Chang, Yu (Chang, Yu.) (Scholars:常宇) | Zeng, Yi (Zeng, Yi.)

Indexed by:

Scopus SCIE PubMed

Abstract:

Background: The aim of this study was to determine the hemodynamic effects of various support modes of continuous flow left ventricular assist devices (CF-LVADs) on the cardiovascular system using a numerical cardiovascular system model. Material/Methods: Three support modes were selected for controlling the CF-LVAD: constant flow mode, constant speed mode, and constant pressure head mode of CF-LVAD. The CF-LVAD is established between the left ventricular apex and the ascending aorta, and was incorporated into the numerical model. Various parameters were evaluated, including the blood assist index (BAI), the left ventricular external work (LVEW), the energy of blood flow (EBF), pulsatility index (PI), and surplus hemodynamic energy (SHE). Results: The results show that the constant flow mode, when compared to the constant speed mode and the constant pressure head mode, increases LVEW by 31% and 14%, and EBF by 21% and 15%, respectively, indicating that this mode achieved the best ventricular unloading among the 3 support modes. As BAI is increased, PI and SHE are gradually decreased, whereas PI of the constant pressure head reaches the maximum value. Conclusions: The study demonstrates that the continuous flow control mode of the CF-LVAD may achieve the highest ventricular unloading. In contrast, the constant rotational speed mode permits the optimal blood perfusion. Finally, the constant pressure head strategy, permitting optimal pulsatility, should optimize the vascular function.

Keyword:

Heart Failure Ventricular Function, Left Blood Flow Velocity

Author Community:

  • [ 1 ] [Song, Zhiming]Peking Univ, Hosp 3, Dept Cardiac Surg, Beijing 100871, Peoples R China
  • [ 2 ] [Wan, Feng]Peking Univ, Hosp 3, Dept Cardiac Surg, Beijing 100871, Peoples R China
  • [ 3 ] [Gu, Kaiyun]Beijing Univ Technol, Sch Life Sci & Bioengn, Beijing, Peoples R China
  • [ 4 ] [Gao, Bin]Beijing Univ Technol, Sch Life Sci & Bioengn, Beijing, Peoples R China
  • [ 5 ] [Chang, Yu]Beijing Univ Technol, Sch Life Sci & Bioengn, Beijing, Peoples R China
  • [ 6 ] [Zeng, Yi]Beijing Univ Technol, Sch Life Sci & Bioengn, Beijing, Peoples R China

Reprint Author's Address:

  • [Wan, Feng]Peking Univ, Hosp 3, Dept Cardiac Surg, Beijing 100871, Peoples R China

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Source :

MEDICAL SCIENCE MONITOR

ISSN: 1643-3750

Year: 2014

Volume: 20

Page: 733-741

3 . 1 0 0

JCR@2022

ESI Discipline: CLINICAL MEDICINE;

ESI HC Threshold:222

JCR Journal Grade:3

CAS Journal Grade:4

Cited Count:

WoS CC Cited Count: 17

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 2

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