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CARDIOVASCULAR
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Volume 1, 1996, No 1 |
Abstract:
Successful miniaturization of an implantable ventricular assist
device (VAD) is achieved. The DeBakey VAD is small enough to be
implantable either in children or in an adults ventricular
apex. The pump generates axial flow by a spinning
inducer/impeller, which is supported by a fixed flow straightner
and diffuser. It generates 5 liters/minutes of flow against 100
mmHg of total pressure head requiring less than 10 watts of input
power. Prototypes of the pump have been tested in in-vitro and
in-vivo biocompatibility tests. CAD/CAM/CAE technologies
accelerated pump design development and improved its hemolysis
and antithrombogenicity. The Index of Hemolysis of the current
model is 0.006 mg/100L. In a series of extracorporeal
implantation in calves, mean value of free plasma hemoglobin
level was maintained less than 5 mg/dl and antithrombogenic
features have been constantly improving. The latest pump
configuration demonstrated complete free thrombus formation in
three two week implantations. A long-term implantation aiming for
over a month is on-going. This paper reviews development of the
DeBakey VAD and describes systematic methodology and its results.
Keywords:
NASA/DeBakey pump, axial flow pump, ventricular assist device
Address for Correspondence:
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