Wang Shangting, Fu Hualin, Lu Zhexin, Yang Ming
School of Electronic Information and Electrical Engineering, Shanghai Jiao Tong University, Shanghai 200240, P. R. China.
Department of Cardiovascular Surgery, Shanghai General Hospital, Shanghai 201620, P. R. China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2024 Apr 25;41(2):383-388. doi: 10.7507/1001-5515.202307050.
Interventional micro-axial flow blood pump is widely used as an effective treatment for patients with cardiogenic shock. Hemolysis and coagulation are vital concerns in the clinical application of interventional micro-axial flow pumps. This paper reviewed hemolysis and coagulation models for micro-axial flow blood pumps. Firstly, the structural characteristics of commercial interventional micro-axial flow blood pumps and issues related to clinical applications were introduced. Then the basic mechanisms of hemolysis and coagulation were used to study the factors affecting erythrocyte damage and platelet activation in interventional micro-axial flow blood pumps, focusing on the current models of hemolysis and coagulation on different scales (macroscopic, mesoscopic, and microscopic). Since models at different scales have different perspectives on the study of hemolysis and coagulation, a comprehensive analysis combined with multi-scale models is required to fully consider the influence of complex factors of interventional pumps on hemolysis and coagulation.
介入式微轴流血液泵作为心源性休克患者的一种有效治疗手段被广泛应用。溶血和凝血是介入式微轴流泵临床应用中的关键问题。本文综述了微轴流血液泵的溶血和凝血模型。首先,介绍了商用介入式微轴流血液泵的结构特点以及与临床应用相关的问题。然后,利用溶血和凝血的基本机制来研究影响介入式微轴流血液泵中红细胞损伤和血小板激活的因素,重点关注当前不同尺度(宏观、介观和微观)的溶血和凝血模型。由于不同尺度的模型在溶血和凝血研究上有不同的视角,因此需要结合多尺度模型进行综合分析,以充分考虑介入泵的复杂因素对溶血和凝血的影响。