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Magnetically Active Cardiac Patches as an Untethered, Non‐Blood Contacting Ventricular Assist Device

Patients suffering from heart failure often require circulatory support using ventricular assist devices (VADs). However, most existing VADs provide nonpulsatile flow, involve direct contact between the blood flow and the device's lumen and moving components, and require a driveline to connect...

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Autores principales: Gu, Hongri, Bertrand, Thibaud, Boehler, Quentin, Chautems, Christophe, Vasilyev, Nikolay V., Nelson, Bradley J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7788498/
https://www.ncbi.nlm.nih.gov/pubmed/33437567
http://dx.doi.org/10.1002/advs.202000726
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author Gu, Hongri
Bertrand, Thibaud
Boehler, Quentin
Chautems, Christophe
Vasilyev, Nikolay V.
Nelson, Bradley J.
author_facet Gu, Hongri
Bertrand, Thibaud
Boehler, Quentin
Chautems, Christophe
Vasilyev, Nikolay V.
Nelson, Bradley J.
author_sort Gu, Hongri
collection PubMed
description Patients suffering from heart failure often require circulatory support using ventricular assist devices (VADs). However, most existing VADs provide nonpulsatile flow, involve direct contact between the blood flow and the device's lumen and moving components, and require a driveline to connect to an external power source. These design features often lead to complications such as gastrointestinal bleeding, device thrombosis, and driveline infections. Here, a concept of magnetically active cardiac patches (MACPs) that can potentially function as non‐blood contacting, untethered pulsatile VADs inside a magnetic actuationsystem is reported. The MACPs, which are composed of permanent magnets and 3D‐printed patches, are attached to the epicardial surfaces, thus avoiding direct contact with the blood flow. They provide powerful actuation assisting native heart pumping inside a magnetic actuation system. In ex vivo experiments on a healthy pig's heart, it is shown that the ventricular ejection fractions are as high as 37% in the left ventricle and 63% in the right ventricle. Non‐blood contacting, untethered VADs can eliminate the risk of serious complications associated with existing devices, and provide an alternative solution for myocardial training and therapy for patients with heart failure.
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spelling pubmed-77884982021-01-11 Magnetically Active Cardiac Patches as an Untethered, Non‐Blood Contacting Ventricular Assist Device Gu, Hongri Bertrand, Thibaud Boehler, Quentin Chautems, Christophe Vasilyev, Nikolay V. Nelson, Bradley J. Adv Sci (Weinh) Communications Patients suffering from heart failure often require circulatory support using ventricular assist devices (VADs). However, most existing VADs provide nonpulsatile flow, involve direct contact between the blood flow and the device's lumen and moving components, and require a driveline to connect to an external power source. These design features often lead to complications such as gastrointestinal bleeding, device thrombosis, and driveline infections. Here, a concept of magnetically active cardiac patches (MACPs) that can potentially function as non‐blood contacting, untethered pulsatile VADs inside a magnetic actuationsystem is reported. The MACPs, which are composed of permanent magnets and 3D‐printed patches, are attached to the epicardial surfaces, thus avoiding direct contact with the blood flow. They provide powerful actuation assisting native heart pumping inside a magnetic actuation system. In ex vivo experiments on a healthy pig's heart, it is shown that the ventricular ejection fractions are as high as 37% in the left ventricle and 63% in the right ventricle. Non‐blood contacting, untethered VADs can eliminate the risk of serious complications associated with existing devices, and provide an alternative solution for myocardial training and therapy for patients with heart failure. John Wiley and Sons Inc. 2020-11-27 /pmc/articles/PMC7788498/ /pubmed/33437567 http://dx.doi.org/10.1002/advs.202000726 Text en © 2020 The Authors. Advanced Science published by Wiley‐VCH GmbH This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Communications
Gu, Hongri
Bertrand, Thibaud
Boehler, Quentin
Chautems, Christophe
Vasilyev, Nikolay V.
Nelson, Bradley J.
Magnetically Active Cardiac Patches as an Untethered, Non‐Blood Contacting Ventricular Assist Device
title Magnetically Active Cardiac Patches as an Untethered, Non‐Blood Contacting Ventricular Assist Device
title_full Magnetically Active Cardiac Patches as an Untethered, Non‐Blood Contacting Ventricular Assist Device
title_fullStr Magnetically Active Cardiac Patches as an Untethered, Non‐Blood Contacting Ventricular Assist Device
title_full_unstemmed Magnetically Active Cardiac Patches as an Untethered, Non‐Blood Contacting Ventricular Assist Device
title_short Magnetically Active Cardiac Patches as an Untethered, Non‐Blood Contacting Ventricular Assist Device
title_sort magnetically active cardiac patches as an untethered, non‐blood contacting ventricular assist device
topic Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7788498/
https://www.ncbi.nlm.nih.gov/pubmed/33437567
http://dx.doi.org/10.1002/advs.202000726
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