Implantable sensor for blood flow monitoring after transplant surgery

被引:30
作者
Ericson, MN
Wilson, MA
Coté, GL
Baba, JS
Xu, W
Bobrek, M
Britton, CL
Hileman, MS
Moore, MR
Emery, MS
Lenarcluzzil, R
机构
[1] Oak Ridge Natl Lab, Monolith Syst Grp, Oak Ridge, TN 37831 USA
[2] Univ Pittsburgh, Pittsburgh, PA USA
[3] Pittsburgh VA Healthcare Syst, Pittsburgh, PA USA
[4] Texas A&M Univ, College Stn, TX USA
关键词
implant sensor; perfusion; organ transplant; optical sensing; data telemetry;
D O I
10.1080/13645700410027866
中图分类号
R61 [外科手术学];
学科分类号
摘要
A limited number of techniques are employed in clinical medicine for regional tissue perfusion assessment. These methods are marginally effective and are not well suited for implantation due to the inability to miniaturize the associated technologies. Consequently, no standardized techniques exist for real-time, continuous monitoring of organ perfusion following transplantation. In this paper, a brief overview of the relevant clinical techniques employed for regional tissue perfusion assessment is given with particular emphasis on post-surgical monitoring of transplanted organs. The ideal characteristics for a perfusion monitoring system are discussed and the development of a new, completely implanted local tissue monitoring system is summarized. In vivo and in vitro data are presented that establish the efficacy of this new technology, which is a photonics-based sensor system uniquely suited for continuous tissue monitoring and real-time data reporting. The suitablity of this sensor technology for miniaturization, which enables implantation for monitoring localized tissue perfusion, is discussed.
引用
收藏
页码:87 / 94
页数:8
相关论文
共 17 条
[1]  
[Anonymous], 1999, C951 IEEE
[2]  
[Anonymous], 1995, Introduction to Spread Spectrum Communications
[3]   PENTOXIFYLLINE BUT NOT SARALASIN RESTORES HEPATIC BLOOD-FLOW AFTER RESUSCITATION FROM HEMORRHAGIC-SHOCK [J].
FLYNN, WJ ;
CRYER, HG ;
GARRISON, RN .
JOURNAL OF SURGICAL RESEARCH, 1991, 50 (06) :616-621
[4]   Arterial waveforms on Doppler ultrasonography predicting or supporting hepatic arterial thrombosis in liver transplantation [J].
Harihara, Y ;
Makuuchi, M ;
Takayama, T ;
Kawarasaki, H ;
Kubota, K ;
Ito, M ;
Tanaka, H ;
Aoyanagi, N ;
Matsukura, A ;
Kita, Y ;
Saiura, A ;
Sakamoto, Y ;
Kobayashi, T ;
Sano, K ;
Hashizume, K ;
Nakatsuka, T .
TRANSPLANTATION PROCEEDINGS, 1998, 30 (07) :3188-3189
[5]   A neuro-stimulus chip with telemetry unit for retinal prosthetic device [J].
Liu, WT ;
Vichienchom, K ;
Clements, M ;
DeMarco, SC ;
Hughes, C ;
McGucken, E ;
Humayun, MS ;
de Juan, E ;
Weiland, JD ;
Greenberg, R .
IEEE JOURNAL OF SOLID-STATE CIRCUITS, 2000, 35 (10) :1487-1497
[6]   The role of hepatic arterial Doppler ultrasound after liver transplantation: an 'audit cycle' evaluation [J].
Maceneaney, PM ;
Malone, DE ;
Skehan, SJ ;
Curry, MP ;
Miller, JC ;
Gibney, RG ;
Traynor, O ;
McCormick, PA .
CLINICAL RADIOLOGY, 2000, 55 (07) :517-524
[7]   Assessment of portal venous system patency in the liver transplant candidate: A prospective study comparing ultrasound, microbubble-enhanced colour Doppler ultrasound, with arteriography and surgery [J].
Marshall, MM ;
Beese, RC ;
Muiesan, P ;
Sarma, DI ;
O'Grady, J ;
Sidhu, PS .
CLINICAL RADIOLOGY, 2002, 57 (05) :377-383
[8]   A miniaturized implantable spinal cord microstimulator for treating intractable chronic pain [J].
Mouïne, J ;
Ammar, KA .
1ST ANNUAL INTERNATIONAL IEEE-EMBS SPECIAL TOPIC CONFERENCE ON MICROTECHNOLOGIES IN MEDICINE & BIOLOGY, PROCEEDINGS, 2000, :630-634
[9]   Metabolic changes in the liver graft monitored continuously with microdialysis during liver transplantation in a pig model [J].
Nowak, G ;
Ungerstedt, J ;
Wernerman, J ;
Ungerstedt, U ;
Ericzon, BG .
LIVER TRANSPLANTATION, 2002, 8 (05) :424-432
[10]   Cigarette smoking is associated with an increased incidence of vascular complications after liver transplantation [J].
Pungpapong, S ;
Manzarbeitia, C ;
Ortiz, J ;
Reich, DJ ;
Araya, V ;
Rothstein, KD ;
Muñoz, SJ .
LIVER TRANSPLANTATION, 2002, 8 (07) :582-587