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November 30, 2023Frontiers in PhysiologyOpen Access

Resistance valves in circulatory loops have a significant impact on in vitro evaluation of blood damage caused by blood pumps: a computational study

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Key result

Hemolysis and platelet activation induced by a typical resistance valve are equivalent to 17%-45% and 14%-60%, respectively, of those induced by the blood pump itself.

Why the study?

Blood damage induced by in-vitro circulatory testing loop components such as the resistance valve may affect the accuracy, reproducibility, and intercomparability of blood pump test results.

Comparison

Resistance valve with different openings vs pump models across different operating points

Design

Computational fluid dynamics simulation study

Authors

PWPeng WuYBY. BaiGDGuanting Du

Discussion

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Member takes

Overview

Valve contribution to hemolysis and platelet activation warrants design scrutiny in circulatory devices; leaves open whether modifications improve clinical hemocompatibility.

Structured PICO

P
Population
Computational fluid dynamics study evaluating the impact of resistance valves on hemolysis and platelet activation in three blood pump models.
E
Exposure
Simulation of blood flow through resistance valves with different openings across 8 operating points (flow rates 2.5-8.0 L/min, rotational speeds 2500-7700 rpm)
C
Comparator
Blood damage induced by the blood pump alone
O
Outcome
Hemolysis index (HI) and platelet activation index (PAI)surrogate

Resistance valves in in-vitro testing loops cause significant hemolysis and platelet activation, which can confound the hemocompatibility evaluation of blood pumps.

Limitations

  • Lack of experimental validations
  • Power-law models for blood damage may be too simplistic and fail in flows where normal stress dominates or in turbulent flows
  • Tubing model under the resistance valve was idealized and considered rigid
  • Only one real scenario of compression (using sidewall) was considered

Cite This Study

Wu et al. (2023) studied Hemolysis and platelet activation in blood pumps. Resistance valve vs. Pump alone was evaluated on Valve-to-pump ratio of hemolysis and platelet activation. Hemolysis and platelet activation induced by a typical resistance valve are equivalent to 17%-45% and 14%-60%, respectively, of those induced by the blood pump itself.

synapsesocial.com/papers/6a6e07892fdcb5703edb4209https://doi.org/10.3389/fphys.2023.1287207
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Circulatory loop design and components introduce artifacts impacting in vitro evaluation of ventricular assist device thrombogenicity: A call for caution2019 · 16 citations
  2. 2Large eddy simulation as a fast and accurate engineering approach for the simulation of rotary blood pumps2021 · 15 citations
  3. 3FDA Benchmark Medical Device Flow Models for CFD Validation2017 · 150 citations