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一种新型左心室辅助装置的首次体内评估

Initial In Vivo Evaluation of a Novel Left Ventricular Assist Device.

作者信息

Wu Guanghui, Lin Changyan, Li Haiyang, Hou Xiaotong, Chen Chen, Liu Xiujian, Xu Chuangye, Wang Jing, Yang Peng, Qu Wenbo

机构信息

Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

出版信息

Biomed Res Int. 2015;2015:148579. doi: 10.1155/2015/148579. Epub 2015 Oct 11.

Abstract

The aim of the study was to use the ovine model to evaluate the hemocompatibility and end-organ effects of a newly developed magnetic suspension centrifugal left ventricular assist device (LVAD) by CH Biomedical Inc., Jiangsu, China. The LVADs were implanted in 6 healthy sheep, where inflow was inserted into the left ventricular apex and outflow was anastomosed to the descending aorta. All sheep received anticoagulation and antiaggregation therapy during the study. Hematologic and biochemical tests were performed to evaluate anemia, hepatorenal function, and the extent of hemolysis. The experiments lasted for up to 30 days on the beating hearts. All sheep were humanely killed at the termination of the experiments, and the end-organs were examined macroscopically and histopathologically. Autopsy was performed in all animals and there was no thrombus formation observed inside the pump. The pump's inflow and outflow conduits were also free of thrombus. Hematologic and biochemical test results were within normal limits during the study period. Postmortem examination of the explanted organs revealed no evidence of ischemia or infarction. Based on the in vivo study, this LVAD is suitable for implantation and can provide efficient support with good biocompatibility. The encouraging results in this study suggest that it is feasible to evaluate the device's long-term durability and stability.

摘要

本研究的目的是使用绵羊模型来评估中国江苏创生医疗器械有限公司新开发的磁悬浮离心式左心室辅助装置(LVAD)的血液相容性和对终末器官的影响。将LVAD植入6只健康绵羊体内,其流入管道插入左心室心尖,流出管道与降主动脉吻合。在研究期间,所有绵羊均接受抗凝和抗聚集治疗。进行血液学和生化检测以评估贫血、肝肾功能及溶血程度。在跳动的心脏上进行的实验持续长达30天。实验结束时,所有绵羊均被人道处死,并对终末器官进行大体和组织病理学检查。对所有动物进行尸检,未观察到泵内有血栓形成。泵的流入和流出管道也无血栓。在研究期间,血液学和生化检测结果均在正常范围内。对取出器官的尸检显示没有缺血或梗死的迹象。基于体内研究,这种LVAD适合植入,并且能够提供具有良好生物相容性的有效支持。本研究中令人鼓舞的结果表明,评估该装置的长期耐久性和稳定性是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cee0/4619760/4e208e47159b/BMRI2015-148579.001.jpg

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