Effects of gamma radiation on a ventricular assist device and its percutaneous lead components.
A patient supported by a left ventricular assist device (LVAD) presented with an abdominal tumor requiring consolidative radiation therapy. To assess the effects of radiation therapy on the operation of the ventricular assist device (VAD) system and assure that the treatment would be safe for the patient with regard to the operation of the VAD system, sample equipment was irradiated and then tested for functionality. Changes in the mechanical properties of components of the percutaneous lead were measured. After testing, it was concluded that radiation therapy would not impede the operation of the pump or produce deleterious alterations of mechanical properties of the various system components. The patient underwent radiation therapy with a total dose of 2,000 cGy without evident complications. There were no observed effects on the LVAD operation nor any indication of alarms or malfunctions. Subsequently, the patient recovered adequate cardiac function for explant of the LVAD and the recovered components were also analyzed confirming the absence of alterations in material properties that would endanger patient safety.
INTEGRIS Advanced Cardiac Care, Nazih Zuhdi Transplant Institute, INTEGRIS Baptist Medical Center, Oklahoma City, Oklahoma, USA.
Neela M
NM
Chelikani
Karen
K
Masterson
Linden A
LA
Down
Russel S
RS
Gill
David J
DJ
Farar
Douglas A
DA
Horstmanshof
James W
JW
Long
Trevor A
TA
Snyder
D000008:Abdominal Neoplasms / Q000150:complications / Q000532:radiotherapy; D000475:Alkenes / Q000737:chemistry; D002151:Calorimetry / Q000379:methods; D004867:Equipment Design; D004868:Equipment Failure; D005030:Ethylenes / Q000737:chemistry; D005720:Gamma Rays; D006333:Heart Failure / Q000601:surgery; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D011076:Polycarboxylate Cement / Q000737:chemistry; D011093:Polyethylene Terephthalates / Q000737:chemistry; D011140:Polyurethanes / Q000737:chemistry; D011878:Radiotherapy / Q000009:adverse effects / Q000379:methods*; D012828:Silicones / Q000737:chemistry
D000475:Alkenes; D005030:Ethylenes; D011076:Polycarboxylate Cement; D011093:Polyethylene Terephthalates; D011140:Polyurethanes; D012828:Silicones; C005506:polycarbonate; C036216:ethylene; C013658:propylene