Experimental use of a compact centrifugal pump and membrane oxygenator as a cardiopulmonary support system.
Compactness and high performance are the most important requirements for a cardiopulmonary support system. The Nikkiso (HPM-15) centrifugal pump is the smallest (priming volume; 25 ml, impeller diameter; 50 mm) in clinically available centrifugal pumps. The Kuraray Menox (AL-2000) membrane oxygenator, made of double-layer polyolefin hollow fiber, has a minimum priming volume (80 ml) and a low pressure loss (65 mm Hg at 2.0 L/min of blood flow) compared with other oxygenators. The aim of this study was to evaluate the performance of the most compact cardiopulmonary support system (total priming volume: 125 ml) in animal experiments. The cardiopulmonary bypass was constructed in a canine model with the Nikkiso pump and Menox oxygenator in comparison with a conventional cardiopulmonary support system. The partial cardiopulmonary bypass was performed for 4 h to evaluate the gas exchange ability, blood trauma, serum leakage, hemodynamics, and blood coagulative parameters. The postoperative plasma free hemoglobin level of the compact cardiopulmonary system was 29.5 +/- 10.21 mg/dl (mean +/- SD), which was lower than that of the conventional cardiopulmonary system, 48.75 +/- 27.39 mg/dl (mean +/- SD). This compact cardiopulmonary system provided the advantage in terms of reduction of the priming volume and less blood damage. These results suggested the possibility of miniaturization for the cardiopulmonary bypass support system in open-heart surgery in the near future.
Suenaga
E
E
Department of Thoracic and Cardiovascular Surgery, Saga Medical School, Saga, Japan.
Naito
K
K
Cao
Z L
ZL
Suda
H
H
Ueno
T
T
Natsuaki
M
M
Itoh
T
T
D000818:Animals; D000990:Antithrombin III / Q000032:analysis; D001672:Biocompatible Materials; D001769:Blood; D001777:Blood Coagulation / Q000502:physiology; D002315:Cardiopulmonary Bypass / Q000295:instrumentation*; D004285:Dogs; D004867:Equipment Design; D006355:Heart-Lung Machine; D006439:Hemodynamics / Q000502:physiology; D006454:Hemoglobins / Q000032:analysis; D008904:Miniaturization; D010107:Oxygenators, Membrane; D010447:Peptide Hydrolases / Q000032:analysis; D010969:Plastics; D011090:Polyenes; D011312:Pressure; D011659:Pulmonary Gas Exchange / Q000502:physiology; D012212:Rheology; D013499:Surface Properties
D001672:Biocompatible Materials; D006454:Hemoglobins; D010969:Plastics; D011090:Polyenes; C046193:antithrombin III-protease complex; C035051:PL 732; D000990:Antithrombin III; D010447:Peptide Hydrolases