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September 18, 2014ASAIO Journal

The Study on Hemodynamic Effect of Varied Support Models of BJUT-II VAD on Coronary Artery

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Key result

The co-pulse mode of the BJUT-II VAD achieved the highest blood perfusion (775 ml/min vs 153 ml/min for constant speed) and highest cycle-averaged wall shear stress (42.6 Pa vs 18.1 Pa).

Why the study?

Do different support modes of the BJUT-II VAD affect coronary artery hemodynamics in a patient-specific computational model?

Population

Patient-specific left coronary arterial geometric model reconstructed based on computed tomography (CT) data

Comparison

BJUT-II VAD under 'co-pulse mode' or 'counter… vs BJUT-II VAD under 'constant speed mode'

Design

Preclinical

Authors

QZQi ZhangQingdao UniversityBGBin GaoBeijing University of TechnologyKGKaiyun GuBeijing Aerospace Flight Control Center

Discussion

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Implication

Co-pulse mode may optimize coronary hemodynamics in models; hypothesis-generating and requires in vivo validation before clinical consideration.

Structured PICO

Do different support modes of the BJUT-II VAD affect coronary artery hemodynamics in a patient-specific computational model?

P
Population
Numerical simulation using a patient-specific left coronary arterial geometric model reconstructed from CT data to evaluate hemodynamic effects of different BJUT-II VAD support modes.
I
Intervention
BJUT-II VAD (Beijing University of Technology ventricular assist device II) under 'co-pulse mode' or 'counter pulse mode'
C
Comparator
BJUT-II VAD under 'constant speed mode'
O
Outcome
Hemodynamic states of coronary artery including wall shear stress (WSS), wall shear stress gradient (WSSG), cycle-averaged wall shear stress (avWSS), oscillatory shear index (OSI), and flow patternsurrogate

Main Result

Absolute Event Rate: 775% vs 153%

Computational simulations suggest that the co-pulse mode of the BJUT-II VAD maximizes coronary perfusion and average wall shear stress compared to constant speed and counter pulse modes.

Cite This Study

Zhang et al. (2014) studied Coronary hemodynamics during ventricular assist device support (n=1). Co-pulse mode of BJUT-II VAD vs. Constant speed mode and counter pulse mode was evaluated on Blood perfusion. The co-pulse mode of the BJUT-II VAD achieved the highest blood perfusion (775 ml/min vs 153 ml/min for constant speed) and highest cycle-averaged wall shear stress (42.6 Pa vs 18.1 Pa).

synapsesocial.com/papers/6a9caede48effd99aa57ac0bhttps://doi.org/10.1097/mat.0000000000000137

Topics

Mechanical circulatory supportHeart failureHFrEF treatment
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