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공압식 심실보조장치의 in-vivo 평가 및 내구성 개선

In-vivo Evaluation of Pneumatic Ventricular Assist Device and Durability Improvement

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Abstract

In this paper, we described 23 cases of animal experiment with our pneumatic ventricular assist device and new durability-improvement method. The blood pump consists of blood housing, and back plate made by the injection moldingof isoplast, and the diaphragm fabricated by dipping of polyurethane solution onto the aluminum mold. Its volume was 75 ml and in-vitro test showed that maximum output was 4.5 l/min at the 100 mmHg. The adult female sheep with weight of 50 + 10 kg were employed for the in-vivo experiments and the mean blood flow was sustained at 3.0 l/min. 4 animals survived more than 15 days and the longest survival time was 28 days. In the prior 10 cases, the major causes of death were the tearing of diaphragm at the diaphragm to blood housing junction. By the new mesh and alumina ball milling methods, the durability was enhanced, and its qualitative and quantitative improvement was proved via the in-vivo and in-vitro methods. Animal experiments demonstrated that all the physiologic parameters were maintained within the permissible ranges and no thrombus formation was observed through the visual and blood test. The in-vivo experiments demonstrated our pneumatic ventricular assist device to be one month's bridge to transplantation device.

참고문헌 (21)

  1. "Permanent substitute for valves and hearts", 4, pp.230~235 (1958)
  2. "Left ventricular bypass pump for cardiacassistance:clinical experience", 27, pp.3~11 (1971)
  3. "Ventricular assist devices and total artificial hearts:a combined registry experience", 55, pp.295~298 (1993)
  4. "Seven year's experience with the Pierce-Donachy ventricular assist device", 96, pp.901~911 (1988)
  5. "Univentricular and biventricular Thoratec VAD support as a bridge to transplantation", 55, pp.276~282 (1993)
  6. "Change in quality of life from before to after discharge following left ventricular assist device implantation", 22(3), pp.322~33 (2003)
  7. "Long-term follow-up of thoratec ventricular assist device bridge-to-recovery patients successfully removed from support after recovery of ventricular function", 21(5), pp.516~21 (2002)
  8. "Portable pneumatic biventricular driver for the Thoratec ventricular assist device", 43(5), pp.31~4 (1997)
  9. "Successful experience in bridging patients to heart transplantation with the MicroMed DeBakey ventricular assist device", 75(4), pp.1200~1204 (2003)
  10. "bridge-to-transplantation outcomes predict the results of permanent LVAD implantation", 74(6), pp.2051~2062 (2002)
  11. "Autologous Skeletal Myoblasts Transplanted to Ischemia-Damaged Myocardium in Humans -Histological Analysis of Cell Survival and Differentiation", 41(5), pp.87988~ (2003), K.D. Aaronson
  12. ". 대한민국의 심장혈관수술 현황", 24, pp.1045~1057 (1991)
  13. "A Novel Diaphragm to Housing Junction Adhesion Method Alumina Mall Milling", Artificial Organs will be published.
  14. "공압식 심실보조기의 동물실험", 35, pp.1065~1077 (1999)
  15. "Antithrombotic biomaterials for cardiovascular surgery. In Pifarre R and Blood preservation in Cardiovascular Surgery", pp.353~362 (1993)
  16. "Extracorporeal membrane oxygenation for adult post-cardiotomy cardiogenic shock using a heparin-bonded system", 39, pp.~447 (1993)
  17. "Neo-intimal development on textured biomaterial surfaces during clinical use of an implantable left ventricular assist device", 4, pp.182~190 (1990)
  18. "Critical analysis of intra-aortic balloon counterpulsation and transapical left ventricular bypass in the sufficient and insufficient circulation", 29, pp.17~31 (1981)
  19. "Percutaneous cardiopulmonary bypass with a synchronous pulsatile pump combines effective unloading with ease of application", 93, pp.358~365 (1987)
  20. "공압식 심실보조기의 실험을 위한 돼지에서의 심부전 모델의 개발", 36, pp.123~130 (2003)
  21. "공압식 심실보조기의 실험을 위한 돼지에서의 심부전 모델의 개발", 36, pp.123~130 (2003)

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