Implantable Continuous-Flow Right Ventricular Assist Device: Lessons Learned in the Development of a Cleveland Clinic Device

被引:25
作者
Fukamachi, Kiyotaka
Shiose, Akira
Massiello, Alex L.
Horvath, David J.
Golding, Leonard A. R.
Lee, Sangjin
Starling, Randall C.
机构
[1] Lerner Res Inst, Dept Biomed Engn, Cleveland, OH USA
[2] Cleveland Clin, Miller Family Heart & Vasc Inst, Dept Cardiovasc Med, Cleveland, OH 44195 USA
基金
美国国家卫生研究院;
关键词
OUTFLOW TRACT RECONSTRUCTION; CIRCULATORY SUPPORT; SUCTION DETECTION; BLOOD PUMPS; SYSTEM; HEART; EXPERIENCE; PRELOAD;
D O I
10.1016/j.athoracsur.2012.02.026
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Although the need for right ventricular assist device (RVAD) support for right ventricular failure after the implantation of a continuous-flow left ventricular assist device has decreased, right ventricular failure still occurs in as many as 44% of patients after continuous-flow left ventricular assist device insertion. Cleveland Clinic's DexAide continuous-flow RVAD was implanted in 34 calves during the course of its development. This review discusses lessons learned in the design and development of an implantable continuous-flow RVAD that are drawn from the results of these in vivo studies, our clinical experience with RVAD support, and a review of previously published reports on clinical RVAD use. (Ann Thorac Surg 2012;93:1746-52) (c) 2012 by The Society of Thoracic Surgeons
引用
收藏
页码:1746 / 1752
页数:7
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