Literature DB >> 12478865

EVAHEART: an implantable centrifugal blood pump for long-term circulatory support.

Kenji Yamazaki1, Shinichiro Kihara, Takehide Akimoto, Osamu Tagusari, Akihiko Kawai, Mitsuo Umezu, Jun Tomioka, Robert L Kormos, Bartley P Griffith, Hiromi Kurosawa.   

Abstract

OBJECTIVE: We developed "EVAHEART": a compact centrifugal blood pump system as an implantable left ventricular assist device for long-term circulatory support. The 55 x 64 mm pump is made from pure titanium, and weighs 370 g. The entire blood-contacting surface is covered with an anti-thrombogenic coating of diamond like carbon (DLC) or 2-methacryloyloxyethyl phosphorylcholine (MPC) to improve blood compatibility. Flows exceeding 12 L/min against 100 mmHg pressure at 2600 rpm was measured. A low-temperature mechanical seal with recirculating cooling system is used to seal the shaft. EVAHEART demonstrated an acceptably low hemolysis rate with normalized index of hemolysis of 0.005 +/- 0.002 g/100L.
METHODS: We evaluated the pump in long-term in-vivo experiments with seven calves. Via left thoracotomy, we conducted left ventricular apex-descending aorta bypass, placing the pump in the left thoracic cavity.
RESULTS: Pump flow rates was maintained at 5-9 L/min, pump power consumption remained stable at 9-10 W in all cases, plasma free Hb levels were less than 15 mg/dl, and the seal system showed good seal capability throughout the experiments. The calves were sacrificed on schedule on postoperative day 200, 222, 142, 90, 151, 155, and 133. No thrombi formed on the blood contacting surface with either the DLC or MPC coating, and no major organ thromboembolisms occurred except for a few small renal infarcts.
CONCLUSION: EVAHEART centrifugal blood pump demonstrated excellent performance in long-term in-vivo experiments.

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Mesh:

Year:  2002        PMID: 12478865     DOI: 10.1007/bf02919636

Source DB:  PubMed          Journal:  Jpn J Thorac Cardiovasc Surg        ISSN: 1344-4964


  5 in total

1.  Rotary blood pump flow spontaneously increases during exercise under constant pump speed: results of a chronic study.

Authors:  T Akimoto; K Yamazaki; P Litwak; K N Litwak; O Tagusari; T Mori; J F Antaki; M V Kameneva; M J Watach; M Umezu; J Tomioka; R L Kormos; H Koyanagi; B P Griffith
Journal:  Artif Organs       Date:  1999-08       Impact factor: 3.094

2.  Effect of pressure-flow relationship of centrifugal pump on in vivo hemodynamics: a consideration for design.

Authors:  O Tagusari; K Yamazaki; P Litwak; J F Antaki; M Watach; L M Gordon; K Kono; T Mori; H Koyanagi; B P Griffith; R L Kormos
Journal:  Artif Organs       Date:  1998-05       Impact factor: 3.094

3.  Hemocompatibility of diamond-like carbon coating.

Authors:  I Dion; X Roques; C Baquey; E Baudet; B Basse Cathalinat; N More
Journal:  Biomed Mater Eng       Date:  1993       Impact factor: 1.300

4.  The cool seal system: a practical solution to the shaft seal problem and heat related complications with implantable rotary blood pumps.

Authors:  K Yamazaki; T Mori; J Tomioka; P Litwak; J F Antaki; O Tagusari; H Koyanagi; B P Griffith; R L Kormos
Journal:  ASAIO J       Date:  1997 Sep-Oct       Impact factor: 2.872

5.  An implantable centrifugal blood pump with a recirculating purge system (Cool-Seal system).

Authors:  K Yamazaki; P Litwak; O Tagusari; T Mori; K Kono; M Kameneva; M Watach; L Gordon; M Miyagishima; J Tomioka; M Umezu; E Outa; J F Antaki; R L Kormos; H Koyanagi; B P Griffith
Journal:  Artif Organs       Date:  1998-06       Impact factor: 3.094

  5 in total
  36 in total

1.  Alteration of LV end-diastolic volume by controlling the power of the continuous-flow LVAD, so it is synchronized with cardiac beat: development of a native heart load control system (NHLCS).

Authors:  Akihide Umeki; Takashi Nishimura; Masahiko Ando; Yoshiaki Takewa; Kenji Yamazaki; Shunei Kyo; Minoru Ono; Tomonori Tsukiya; Toshihide Mizuno; Yoshiyuki Taenaka; Eisuke Tatsumi
Journal:  J Artif Organs       Date:  2011-11-12       Impact factor: 1.731

2.  Pulsatile support using a rotary left ventricular assist device with an electrocardiography-synchronized rotational speed control mode for tracking heart rate variability.

Authors:  Mamoru Arakawa; Takashi Nishimura; Yoshiaki Takewa; Akihide Umeki; Masahiko Ando; Yuichiro Kishimoto; Satoru Kishimoto; Yutaka Fujii; Kazuma Date; Shunei Kyo; Hideo Adachi; Eisuke Tatsumi
Journal:  J Artif Organs       Date:  2015-11-25       Impact factor: 1.731

3.  The future of adult cardiac assist devices: novel systems and mechanical circulatory support strategies.

Authors:  Carlo R Bartoli; Robert D Dowling
Journal:  Cardiol Clin       Date:  2011-11       Impact factor: 2.213

Review 4.  Mechanical circulatory support devices (MCSD) in Japan: current status and future directions.

Authors:  Setsuo Takatani; Hikaru Matsuda; Akihisa Hanatani; Chisato Nojiri; Kenji Yamazaki; Tadashi Motomura; Katsuhiro Ohuchi; Tohru Sakamoto; Takashi Yamane
Journal:  J Artif Organs       Date:  2005       Impact factor: 1.731

Review 5.  Development of mechanical circulatory support devices at the University of Tokyo.

Authors:  Yusuke Abe; Takashi Isoyama; Itsuro Saito; Shuichi Mochizuki; Minoru Ono; Hidemoto Nakagawa; Noriyuki Taniguchi; Norihiko Mitsumune; Ayaka Sugino; Mie Mitsui; Koki Takiura; Toshiya Ono; Akimasa Kouno; Tsuneo Chinzei; Shinichi Takamoto; Kou Imachi
Journal:  J Artif Organs       Date:  2007-06-20       Impact factor: 1.731

6.  The angle of the outflow graft to the aorta can affect recirculation due to aortic insufficiency under left ventricular assist device support.

Authors:  Kei Iizuka; Tomohiro Nishinaka; Daichi Akiyama; Hirohito Sumikura; Toshihide Mizuno; Tomonori Tsukiya; Yoshiaki Takewa; Kenji Yamazaki; Eisuke Tatsumi
Journal:  J Artif Organs       Date:  2018-07-23       Impact factor: 1.731

7.  Change in myocardial oxygen consumption employing continuous-flow LVAD with cardiac beat synchronizing system, in acute ischemic heart failure models.

Authors:  Akihide Umeki; Takashi Nishimura; Yoshiaki Takewa; Masahiko Ando; Mamoru Arakawa; Yuichiro Kishimoto; Tomonori Tsukiya; Toshihide Mizuno; Shunei Kyo; Minoru Ono; Yoshiyuki Taenaka; Eisuke Tatsumi
Journal:  J Artif Organs       Date:  2013-01-17       Impact factor: 1.731

8.  Paracorporeal ventricular assist device as a bridge to transplant candidacy in the era of implantable continuous-flow ventricular assist device.

Authors:  Hideaki Suwa; Osamu Seguchi; Tomoyuki Fujita; Yoshihiro Murata; Michinari Hieda; Takuya Watanabe; Takuma Sato; Haruki Sunami; Masanobu Yanase; Hiroki Hata; Takeshi Nakatani
Journal:  J Artif Organs       Date:  2013-10-06       Impact factor: 1.731

9.  A case of conversion of a NIPRO ventricular assist system to an EVAHEART left ventricular assist system.

Authors:  Tomoki Ushijima; Yoshihisa Tanoue; Kazuto Hirayama; Atsuhiro Nakashima; Ryuji Tominaga
Journal:  J Artif Organs       Date:  2012-12-08       Impact factor: 1.731

10.  Initial experience in Japan with HeartWare ventricular assist system.

Authors:  Hiroyuki Nishi; Koichi Toda; Shigeru Miyagawa; Yasushi Yoshikawa; Satsuki Fukushima; Shunsuke Saito; Daisuke Yoshioka; Tetsuya Saito; Takayoshi Ueno; Taichi Sakaguchi; Yoshiki Sawa
Journal:  J Artif Organs       Date:  2014-01-25       Impact factor: 1.731

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