Ontology highlight
ABSTRACT: Objectives
We propose an evolution of a dielectric elastomer actuator-based cardiac assist device that acts as a counterpulsation system. We introduce a new pre-stretched actuator and implant the device in a graft bypass between the ascending and descending aorta to redirect all blood through the device (ascending aorta clamped). The objective was to evaluate the influence of these changes on the assistance provided to the heart.Methods
The novel para-aortic device and the new implantation technique were tested in vivo in 5 pigs. We monitored the pressure and flow in the aorta as well as the pressure-volume characteristics of the left ventricle. Different activation timings were tested to identify the optimal device actuation.Results
The proposed device helps reducing the end-diastolic pressure in the aorta by up to 13 ± 4.0% as well as the peak systolic pressure by up to 16 ± 3.6%. The early diastolic pressure was also increased up to 10 ± 3.5%. With different activation, we also showed that the device could increase or decrease the stroke volume.Conclusions
The new setup and the novel para-aortic device presented here helped improve cardiac assistance compared to previous studies. Moreover, we revealed a new way to assist the heart by actuating the device at different starting time to modify the left ventricular stroke volume and stroke work.
SUBMITTER: Jahren SE
PROVIDER: S-EPMC10955250 | biostudies-literature | 2024 Mar
REPOSITORIES: biostudies-literature
Jahren Silje Ekroll SE Martinez Thomas T Walter Armando A Clavica Francesco F Heinisch Paul Philipp PP Buffle Eric E Luedi Markus Martin MM Hörer Jürgen J Obrist Dominik D Carrel Thierry T Civet Yoan Y Perriard Yves Y
Interdisciplinary cardiovascular and thoracic surgery 20240301 3
<h4>Objectives</h4>We propose an evolution of a dielectric elastomer actuator-based cardiac assist device that acts as a counterpulsation system. We introduce a new pre-stretched actuator and implant the device in a graft bypass between the ascending and descending aorta to redirect all blood through the device (ascending aorta clamped). The objective was to evaluate the influence of these changes on the assistance provided to the heart.<h4>Methods</h4>The novel para-aortic device and the new im ...[more]