Development of an antithrombogenic and antitraumatic blood pump:: The Gyro C1E3

被引:9
作者
Takano, T [1 ]
Nakata, K [1 ]
Yoshikawa, M [1 ]
Maeda, T [1 ]
Glueck, J [1 ]
Fujisawa, A [1 ]
Makinouchi, K [1 ]
Yokokawa, M [1 ]
Murabayashi, S [1 ]
Nosé, Y [1 ]
机构
[1] Baylor Coll Med, Dept Surg, Houston, TX 77030 USA
关键词
D O I
10.1097/00002480-200001000-00028
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
The Gyro C1E3 is a centrifugal blood pump. Its antithrombogenic and antitraumatic blood features were demonstrated by prior studies. Based upon these studies, a mass production model of the C1E3 is becoming commercially available. Therefore, this feasibility study was conducted using the mass production models of the Gyro C1E3 for long-term cardiac assist in ex ville animal experiments. Five healthy calves were used and 15 pump heads were applied for different time periods (Group 1, 30 days; Group 2, 14 days; Group 3, 10 and 7 days; Group 4, 4 days; and Group 5, 2 days). Activated clotting time (ACT) was kept at 200-250 sec. All five calves demonstrated neither abnormal signs nor abnormal blood examination data throughout the experiment. During necropsy, no thromboembolism was found in any downstream organs. Groups 1-4 showed thrombi inside the pump heads while two pumps in Group 5 had no thrombi formations. Bearing deformation or possible wear did not increase after 2 days of pumping. The C1E3 is capable of long-term assist circulation. However, after 2 days of pumping, careful observation is necessary since thrombi may occur inside the pump when ACT is controlled under 250 sec. During the weaning stage or low flow (under 2 L/min), over 250 sec of ACT is recommended to assure the safety of the patient.
引用
收藏
页码:123 / 127
页数:5
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