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Hybrid Continuous-Flow Total Artificial Heart
Journal article   Peer reviewed

Hybrid Continuous-Flow Total Artificial Heart

Carson Fox, Steven Chopski, Nohra Murad, Paul Allaire, Robert Mentzer, Jr, Joseph Rossano, Francisco Arabia and Amy Throckmorton
Artificial organs, v 42(5), pp 500-509
May 2018
PMID: 29349805

Abstract

Adolescent Adult Algorithms Blood Flow Velocity Child Computer Simulation Equipment Design Heart Failure - physiopathology Heart Failure - therapy Heart, Artificial - adverse effects Humans Infant Models, Cardiovascular
Clinical studies using total artificial hearts (TAHs) have demonstrated that pediatric and adult patients derive quality-of-life benefits from this form of therapy. Two clinically-approved TAHs and other pumps under development, however, have design challenges and limitations, including thromboembolic events, neurologic impairment, infection risk due to large size and percutaneous drivelines, and lack of ambulation, to name a few. To address these limitations, we are developing a hybrid-design, continuous-flow, implantable or extracorporeal, magnetically-levitated TAH for pediatric and adult patients with heart failure. This TAH has only two moving parts: an axial impeller for the pulmonary circulation and a centrifugal impeller for the systemic circulation. This device will utilize the latest generation of magnetic bearing technology. Initial geometries were established using pump design equations, and computational modeling provided insight into pump performance. The designs were the basis for prototype manufacturing and hydraulic testing. The study results demonstrate that the TAH is capable of delivering target blood flow rates of 1-6.5 L/min with pressure rises of 1-92 mm Hg for the pulmonary circulation and 24-150 mm Hg for the systemic circulation at 1500-10 000 rpm. This initial design of the TAH was successful and serves as the foundation to continue its development as a novel, more compact, nonthrombogenic, and effective therapeutic alternative for infants, children, adolescents, and adults with heart failure.

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29 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Engineering, Biomedical
Transplantation
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