Intra-Aortic Balloon Pump Support in the Isolated Beating Porcine Heart in Nonischemic and Ischemic Pump Failure.

Abstract:

:The blood pressure changes induced by the intra-aortic balloon pump (IABP) are expected to create clinical improvement in terms of coronary perfusion and myocardial oxygen consumption. However, the measured effects reported in literature are inconsistent. The aim of this study was to investigate the influence of ischemia on IABP efficacy in healthy hearts and in shock. Twelve slaughterhouse porcine hearts (hearts 1-12) were connected to an external circulatory system, while physiologic cardiac performance was restored. Different clinical scenarios, ranging from healthy to cardiogenic shock, were simulated by step-wise administration of negative inotropic drugs. In hearts 7-12, severe global myocardial ischemia superimposed upon the decreased contractile states was created. IABP support was applied in all hearts under all conditions. Without ischemia, the IABP induced a mild increase in coronary blood flow and cardiac output. These effects were strongly augmented in the presence of persisting ischemia, where coronary blood flow increased by 49 ± 24% (P < 0.01) and cardiac output by 17 ± 6% (P < 0.01) in case of severe pump failure. As expected, myocardial oxygen consumption increased in case of ischemia (21 ± 17%; P < 0.01), while it slightly decreased without (-3 ± 6%; P < 0.01). In case of progressive pump failure due to persistent myocardial ischemia, the IABP increased hyperemic coronary blood flow and cardiac output significantly, and reversed the progressive hemodynamic deterioration within minutes. This suggests that IABP therapy in acute myocardial infarction is most effective in patients with viable myocardium, suffering from persistent myocardial ischemia, despite adequate epicardial reperfusion.

journal_name

Artif Organs

journal_title

Artificial organs

authors

Schampaert S,van Nunen LX,Pijls NH,Rutten MC,van Tuijl S,van de Vosse FN,van 't Veer M

doi

10.1111/aor.12470

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

931-8

issue

11

eissn

0160-564X

issn

1525-1594

journal_volume

39

pub_type

杂志文章
  • Pulsatile in vitro simulation of the pediatric univentricular circulation for evaluation of cardiopulmonary assist scenarios.

    abstract::The characteristic depressed hemodynamic state and gradually declining circulatory function in Fontan patients necessitates alternative postoperative management strategies incorporating a system level approach. In this study, the single-ventricle Fontan circulation is modeled by constructing a practical in vitro bench...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2009.00951.x

    authors: Dur O,Lara M,Arnold D,Vandenberghe S,Keller BB,DeGroff C,Pekkan K

    更新日期:2009-11-01 00:00:00

  • Development of a DNA immunoadsorbent: coupling DNA on sepharose 4FF by an efficient activation method.

    abstract::To remove anti-DNA antibodies from a patient's plasma with systemic lupus erythematosus (SLE), a DNA immunoadsorbent was developed by covalently coupling calf thymus DNA on activated Sepharose 4FF. Sepharose 4FF was activated with 5-norbornene-2,3-dicarboximido carbonochloridate (Cl-CO-ONB), which was proven to be a v...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.2000.06618.x

    authors: Kong DL,Schuett W,Boeden HF,Kunkel S,Holtz M,Matic G,Yamada R,Yu YT,Klinkmann H

    更新日期:2000-11-01 00:00:00

  • Analysis of left ventricular impedance in comparison with ultrasound images.

    abstract::Cardiac monitoring of ventricular assist devices (VADs) is important for detecting heart failure risks, such as critical arrhythmia and ventricular fibrillation, and for supplying data that are useful for hemodynamic control. Specifically, impedance cardiograms (ICGs) are especially beneficial because they have no eff...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2011.01381.x

    authors: Choi SW,Park SM

    更新日期:2012-05-01 00:00:00

  • Sensitivity of the primary stability of a cementless hip stem to its position and orientation.

    abstract::Using computed tomography (CT)-based preoperative planning software, we can define with good accuracy the position of a cementless hip stem inside the host bone, but previous studies suggest that the pose the surgeon achieves during freehand surgery may differ from the planned one even by some millimeters. Advances in...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2008.00577.x

    authors: Reggiani B,Cristofolini L,Taddei F,Viceconti M

    更新日期:2008-07-01 00:00:00

  • Evaluation of perfusion modes on vital organ recovery and thyroid hormone homeostasis in pediatric patients undergoing cardiopulmonary bypass.

    abstract::The objectives of this study were: (i) to evaluate the effects of perfusion modes (pulsatile vs. nonpulsatile) on vital organs recovery and (ii) to investigate the influences of two different perfusion modes on the homeostasis of thyroid hormones in pediatric patients undergoing cardiopulmonary bypass (CPB) procedures...

    journal_title:Artificial organs

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1525-1594.2010.01159.x

    authors: Akçevin A,Alkan-Bozkaya T,Qiu F,Undar A

    更新日期:2010-11-01 00:00:00

  • Coronary artery anatomy of the goat.

    abstract::The coronary arteries of the goat heart were studied using angiographic techniques and molds of the coronary vessel trees. Blood supplies to the left and right ventricles, interventricular septum, atrioventricular node, and apex of the caprine heart were studied. The goat possesses a left dominant pattern of coronary ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1983.tb04192.x

    authors: Lipovetsky G,Fenoglio JJ,Gieger M,Srinivasan MR,Dobelle WH

    更新日期:1983-05-01 00:00:00

  • Improved mechanism for capturing muscle power for circulatory support.

    abstract::Although it is now understood that trained skeletal muscle can generate enough steady-state power to provide significant circulatory support, there are currently no means by which to tap this endogenous energy source to aid the failing heart. To that end, an implantable muscle energy converter (MEC) has been construct...

    journal_title:Artificial organs

    pub_type: 杂志文章,评审

    doi:10.1111/j.1525-1594.2005.29108.x

    authors: Trumble DR,Melvin DB,Byrne MT,Magovern JA

    更新日期:2005-09-01 00:00:00

  • Use of clinical guidelines for treatment of anemia among hemodialysis patients.

    abstract::Changing financial incentives have strongly influenced dosing patterns of recombinant human erythropoietin (rHuEPO) since its introduction in 1989. Although guidelines for prescribing rHuEPO exist, the extent to which they are adhered to is unknown. Using a retrospective cohort observational study design, the factors ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.2000.06495.x

    authors: Thamer M,Richard CM,Klinkmann J,Ivanovich P,Lang G,Cotter DJ

    更新日期:2000-02-01 00:00:00

  • Development of high-efficiency molecular adsorbent recirculating system: preliminary report.

    abstract::Molecular Adsorbent Recirculating System (MARS) is a liver support system widely employed in the treatment of liver failure. The method is normally well tolerated. To develop a liver support system combining high efficiency and tolerability, we modified the MARS albumin circuit with the insertion of double adsorption ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12250

    authors: Marangoni R,Bellati G,Castelli A,Romagnoli E

    更新日期:2014-10-01 00:00:00

  • Wear-Resistant, Hemocompatible Ti-Nb-Zr and Zr-Nb Alloys to Improve Blood Pump Design and Performance.

    abstract::Over the past several years, we have developed novel titanium-niobium-zirconium (Ti-Nb-Zr) alloys to address the long-term performance needs of orthopedic implants. The unique properties of these alloys also render them promising candidates for blood pumps. These properties include excellent biocompatibility in combin...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1996.tb04473.x

    authors: Davidson JA,Daigle KP,Kovacs P

    更新日期:1996-05-01 00:00:00

  • The ethics of technology introduction.

    abstract::The rapid acceleration of technology development is outpacing our ability to assess it objectively and competently. Our challenge is to develop new assessment methods that take into account the fast moving nature of technology development while still protecting the patients' and the public interest. ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.1998.06020.x

    authors: Abele JE

    更新日期:1998-01-01 00:00:00

  • Development of a flow estimation and control system of an implantable centrifugal blood pump for circulatory assist.

    abstract::A bypass flow rate estimation and control system (BECS) for an implantable centrifugal blood pump (ICBP) has been developed in our institute. The estimated flow rate (EF) of the ICBP was derived from the electric power consumption, the rotating speed of a motor, and the blood viscosity presumed by the hematocrit and b...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.1998.06130.x

    authors: Wakisaka Y,Okuzono Y,Taenaka Y,Chikanari K,Endo S,Masuzawa T,Takano H

    更新日期:1998-06-01 00:00:00

  • Asymptomatic atherosclerosis and hypertension in nondiabetic patients with chronic kidney disease.

    abstract::Atherosclerosis is accelerated in dialysis patients, but less is known about asymptomatic atherosclerosis and major risk factors in patients with different stages of chronic kidney disease (CKD). We compared intima media thickness (IMT) and plaque occurrence in the carotid arteries in 104 nondiabetic patients (stages ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2007.00522.x

    authors: Ekart R,Hojs R,Bevc S,Balon BP

    更新日期:2008-03-01 00:00:00

  • Centrifugal pumps and heparin-coated circuits in surgical treatment of giant cerebral aneurysms.

    abstract::Giant cerebral aneurysms may be untreatable by conventional neurosurgical techniques. Early attempts to use circulatory assistance and deep hypothermia were abandoned due to hemorrhagic complications. More recently, interest in circulatory support for complex neurosurgical procedures has been renewed. A consecutive se...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.2000.06594.x

    authors: Mesana T,Collart F,Caus T,Pomane C,Graziani N,Bruder N,Dufour H,Grisoli F,Montiès JR

    更新日期:2000-06-01 00:00:00

  • Intravascular micropump for augmented liver perfusion: first in vivo experience.

    abstract::The aim of this study was to assess the in vivo performance of a new microaxial rotary blood pump developed for long-term intraportal implantation. The pump, measuring 7 mm in diameter, has a single stage impeller and is powered by a microelectric motor. The pump was implanted into the portal vein in 13 large white pi...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.2001.06772.x

    authors: Havlík R,Kerkhoffs W,Jiao LR,Schumacher O,Reul H,Habib N

    更新日期:2001-05-01 00:00:00

  • Effect of filtration leukocytapheresis therapy: modulation of white blood cell enzyme activities in patients with rheumatoid arthritis.

    abstract::We treated 12 patients with rheumatoid arthritis by filtration leukocytapheresis (FLCP) and evaluated its effect on leukocyte enzyme activities. We calculated the number of leukocytes removed and assessed the clinical response. We also evaluated the cellular enzyme activities of elastase and dipeptidylpeptidase IV (DP...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.2002.06834.x

    authors: Yamasaki S,Ueki Y,Nakamura H,Yano M,Matsumoto K,Miyake S,Tominaga T,Tominaga M,Eguchi K

    更新日期:2002-04-01 00:00:00

  • An advanced mock circulation loop for in vitro cardiovascular device evaluation.

    abstract::Controlled and repeatable in vitro evaluation of cardiovascular devices using a mock circulation loop (MCL) is essential prior to in vivo or clinical trials. MCLs often consist of only a systemic circulation with no autoregulatory responses and limited validation. This study aimed to develop, and validate against huma...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.13636

    authors: Gregory SD,Pauls JP,Wu EL,Stephens A,Steinseifer U,Tansley G,Fraser JF

    更新日期:2020-06-01 00:00:00

  • Re-endothelialization of non-detergent decellularized porcine vessels.

    abstract::Tissue engineering utilizes an interdisciplinary approach to generate constructs for the treatment and repair of diseased organs. Generation of small vessels as vascular grafts or as envisioned central vessel for vascularized constructs is still a challenge. Here, the decellularization of porcine vessels by a non-dete...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.13836

    authors: Eyre K,Samper E,Haverich A,Hilfiker A,Andrée B

    更新日期:2020-10-01 00:00:00

  • Hemolytic evaluation using polyurethane microcapsule suspensions in circulatory support devices: normalized index of hemolysis comparisons of commercial centrifugal blood pumps.

    abstract::We have been developing some types of microcapsule suspensions with polyurethane membranes to evaluate the absolute hemolytic characteristics of the centrifugal blood pumps used in circulatory support devices such as artificial hearts. In order to facilitate/realize hemolysis testing on centrifugal blood pumps that ha...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2007.00503.x

    authors: Maruyama O,Yamaguchi K,Nishida M,Onoguchi T,Tsutsui T,Jikuya T,Yamane T

    更新日期:2008-02-01 00:00:00

  • Pretreatment With Inactivated Bacillus Calmette-Guerin Increases CD4+CD25+ Regulatory T Cell Function and Decreases Functional and Structural Effects of Asthma Induction in a Rat Asthma Model.

    abstract::Bacillus Calmette-Guerin (BCG) has been shown to have therapeutic effects on asthma through CD4+CD25+ regulatory T cells (Tregs). We sought to assess pretreatment with inactivated BCG on CD4+CD25+ Tregs and its functional and structural effects in rat asthma model. The rat asthma model was established using ovalbumin ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12566

    authors: Gong P,Li Y,Tan YP,Li H

    更新日期:2016-04-01 00:00:00

  • Implantable volume monitor and miniaturized stimulator dedicated to bladder control.

    abstract::This paper describes a new miniaturized implantable bladder controller that is composed of 4 main parts: a volume monitoring device based on the tomography approach, a fully programmable miniaturized central processor and stimulator, a bidirectional data and power link, and an external controller. The proposed system ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:

    authors: Sawan M,Arabi K,Provost B

    更新日期:1997-03-01 00:00:00

  • Vascular access for continuous arteriovenous hemofiltration in infants and young children.

    abstract::The blood flow through the hemofilter device is the key point for ultrafiltrate production during continuous arteriovenous hemofiltration. It mainly depends on arteriovenous pressure gradient and vascular access, which is the major problem for arteriovenous hemofiltration in infants and small children. In infants, we ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1988.tb01518.x

    authors: Zobel G,Trop M,Beitzke A,Ring E

    更新日期:1988-02-01 00:00:00

  • Modeling the transfer of low molecular weight plasma proteins during hemodialysis and online hemodiafiltration.

    abstract::Replacing the renal excretion of low molecular weight proteins (LMWP) by extracorporeal dialysis (dialysis) treatment poses technological challenges. Hemodialyzers with sieving coefficients for LMWP that match or even exceed those of the glomerular membrane barrier are commercially available; however, the associated l...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.13835

    authors: Glancey G

    更新日期:2020-10-01 00:00:00

  • Cytotoxicity of bile in human Hep G2 cells and in primary cultures of rat hepatocytes.

    abstract::There has been increasing interest in the development of a hepatocyte bioreactor for the treatment of acute hepatic failure; however, little is known about the effect of hepatocyte byproducts on the viability of the cells in the bioreactor environment. We investigated the effects of increasing concentrations of bile o...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.1998.06088.x

    authors: Smirthwaite AD,Gaylor JD,Cousins RB,Grant MH

    更新日期:1998-10-01 00:00:00

  • Heparin-coated cardiopulmonary bypass circuits in coronary bypass surgery.

    abstract::Cardiopulmonary bypass (CPB) is a nonphysiologic environment for an organism. The damage of blood components may also lead to organ dysfunction, some-times recognized as postperfusion syndrome. One possible way to diminish the risk of these complications would be to reduce the thorombogenicity and to improve the bioco...

    journal_title:Artificial organs

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1525-1594.1996.tb04573.x

    authors: Horimoto H,Kondo K,Asada K,Sasaki S

    更新日期:1996-08-01 00:00:00

  • An image processing approach for blind mobility facilitated through visual intracortical stimulation.

    abstract::This article presents an image processing approach dedicated for a blind mobility aid facilitated through visual intracortical electrical stimulation. The method examines a display framework based on the distances related to a scene. The distances of objects to the walker are measured using a size perspective method w...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2011.01421.x

    authors: Mohammadi HM,Ghafar-Zadeh E,Sawan M

    更新日期:2012-07-01 00:00:00

  • New versatile dual-support pediatric heart pump.

    abstract::Mechanical circulatory support (MCS) devices for pediatric patients continue to lag in development behind those for adults. There is no heart pump with the design innovation to support dysfunctional states of heart failure and the anatomic heterogeneity of cardiac defects in pediatric patients. To address this unmet n...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.13507

    authors: Fox C,Sarkisyan H,Stevens R,Arabia F,Fischer W,Rossano J,Throckmorton A

    更新日期:2019-11-01 00:00:00

  • Flow visualization study on centrifugal blood pump using a high speed video camera.

    abstract::Flow visualization is widely applied to evaluate rotary blood pumps; however, it is very difficult to visualize flow near the vanes of centrifugal blood pumps because the rotational speed of the impeller is usually several thousand rpm. In this study, a tracer method with a high speed video camera that can take more t...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1995.tb02399.x

    authors: Sakuma I,Tadokoro H,Fukui Y,Dohi T

    更新日期:1995-07-01 00:00:00

  • Use of tactile stiffness to detect fatigue in the latissimus dorsi muscle.

    abstract::In clinical settings, no method has been established to examine the fatigue of a latissimus dorsi muscle (LDM) preconditioned for cardiomyoplasty. We examined the feasibility of measuring muscle stiffness (tactile stiffness) to evaluate muscle fatigue in situ using our tactile sensor. We stimulated canine LDM with bur...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.2000.06551.x

    authors: Inaba H,Miyaji K,Kaneko Y,Ohtsuka T,Ezure M,Tambara K,Takamoto S,Omata S

    更新日期:2000-10-01 00:00:00

  • Intravenous prostacyclin mitigates inhaled nitric oxide rebound effect: A case control study.

    abstract::Although extracorporeal membrane oxygenation (ECMO) improves oxygenation, pulmonary vascular resistance may be increased due to endothelial function impairment. Inhaled nitric oxide (iNO) is increasingly used for treatment of pulmonary hypertension after surgical repair of congenital heart defects, with or without ECM...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.1999.06448.x

    authors: Hermon M,Golej J,Burda G,Marx M,Trittenwein G,Pollak A

    更新日期:1999-11-01 00:00:00