Circulatory assist with centrifugal pump as a bridge to recovery: mathematical analysis.
Mechanical circulatory support is an essential issue in the management of patients with end-stage cardiac failure. The aim of this study is to evaluate the efficacy of temporary support with a centrifugal blood pump as bridge to heart function recovery or bridge to transplantation. Heart recovery is achieved by improving ventricular mechanical working conditions with proper modifications of preload and afterload. This article assesses the advantages of a novel 'cardiac chambers' cannulation setting versus the traditional one, in the case of biventricular or isolated right ventricular failure. The study was conducted using a numerical computer model based on the work by Guyton, Sagawa, Westerhof, and Noordergraaf. Simulation of the planned trials was achieved by changing the model parameters, the pump angular velocity, and the inflow and outflow settings.
Heart and Lung Transplantation Program, Policlinico S Orsola-Malpighi, Bologna University, Bologna, Italy.
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Arpesella
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Mikus
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Arabia
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Loforte
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D003198:Computer Simulation; D006333:Heart Failure; D006353:Heart-Assist Devices; D018056:Hemorheology; D006801:Humans; D008955:Models, Cardiovascular; D018754:Ventricular Dysfunction