In vitro cardiovascular system emulator (bioreactor) for the simulation of normal and diseased conditions with and without mechanical circulatory support

作者: Paula Ruiz , Mohammad Amin Rezaienia , Akbar Rahideh , Thomas R. Keeble , Martin T. Rothman

DOI: 10.1111/AOR.12109

关键词:

摘要: This article presents a new device designed to simulate in vitro flow rates, pressures, and other parameters representing normal diseased conditions of the human cardiovascular system. Such devices are sometimes called bioreactors or "mock" simulator loops (SCVLs) literature. Most SCVLs systemic circulation only have inherent limitations studying interaction left right sides circulation. Those that include both utilize header reservoirs simulating cycles with constant atrial pressures. The SCVL described this includes models for all four chambers heart, pulmonary loops. Each heart chamber is accurately activated by separate linear motor suction ejection stages, thus capturing important features perfusion waveforms. Four mechanical valves corresponding mitral, pulmonary, tricuspid, aortic used control desired unidirectional flow. can emulate different physiological pathological system controlling blood through vascular tree (mainly resistance, compliance, elastance chambers). In study, cases were simulated: healthy, congestive failure, ventricular diastolic dysfunction conditions, addition circulatory support (MCS) device. Hemodynamic including pressure, been investigated at sinus, carotid artery, respectively. an MCS resulted significant reduction mean pressure re-establishment cardiac output. cases, experimental results compared physiology numerical simulations. show capability replicate various without MCS.

参考文章(33)
Daniel L. Timms, Shaun D. Gregory, Nicholas A. Greatrex, Mark J. Pearcy, John F. Fraser, Ulrich Steinseifer, A compact mock circulation loop for the in vitro testing of cardiovascular devices. Artificial Organs. ,vol. 35, pp. 384- 391 ,(2011) , 10.1111/J.1525-1594.2010.01088.X
Jeison Fonseca, Aron Andrade, Denys E.C. Nicolosi, José F. Biscegli, Juliana Leme, Daniel Legendre, Eduardo Bock, Julio Cesar Lucchi, Cardiovascular Simulator Improvement: Pressure Versus Volume Loop Assessment Artificial Organs. ,vol. 35, pp. 454- 458 ,(2011) , 10.1111/J.1525-1594.2011.01266.X
Einly Lim, Abdul-Hakeem H. Alomari, Andrey V. Savkin, Socrates Dokos, John F. Fraser, Daniel L. Timms, David G. Mason, Nigel H. Lovell, A Method for Control of an Implantable Rotary Blood Pump for Heart Failure Patients Using Noninvasive Measurements Artificial Organs. ,vol. 35, ,(2011) , 10.1111/J.1525-1594.2011.01268.X
Theodosios Korakianitis, Yubing Shi, Numerical simulation of cardiovascular dynamics with healthy and diseased heart valves. Journal of Biomechanics. ,vol. 39, pp. 1964- 1982 ,(2006) , 10.1016/J.JBIOMECH.2005.06.016
Öyvind Reitan, Jan Sternby, Hans Öhlin, Hydrodynamic properties of a new percutaneous intra-aortic axial flow pump. Asaio Journal. ,vol. 46, pp. 323- 329 ,(2000) , 10.1097/00002480-200005000-00016
Elliot J. Smith, Oyvind Reitan, Thomas Keeble, Kerry Dixon, Martin T. Rothman, A first-in-man study of the Reitan catheter pump for circulatory support in patients undergoing high-risk percutaneous coronary intervention. Catheterization and Cardiovascular Interventions. ,vol. 73, pp. 859- 865 ,(2009) , 10.1002/CCD.21865
Yubing Shi, Theodosios Korakianitis, Christopher Bowles, Numerical simulation of cardiovascular dynamics with different types of VAD assistance Journal of Biomechanics. ,vol. 40, pp. 2919- 2933 ,(2007) , 10.1016/J.JBIOMECH.2007.02.023
Kristian Wachtell, Vittorio Palmieri, Eva Gerdts, Jonathan N. Bella, Gerard P. Aurigemma, Vasilios Papademetriou, Björn Dahlöf, Tapio Aalto, Hans Ibsen, Jens E. Rokkedal, Richard B. Devereux, Prognostic significance of left ventricular diastolic dysfunction in patients with left ventricular hypertrophy and systemic hypertension (the LIFE Study). American Journal of Cardiology. ,vol. 106, pp. 999- 1005 ,(2010) , 10.1016/J.AMJCARD.2010.05.032