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一种用于体外血液循环的新型无阀搏动流泵。

A Novel Valveless Pulsatile Flow Pump for Extracorporeal Blood Circulation.

作者信息

Anatol Joaquín, Vignali Emanuele, Gasparotti Emanuele, Castro-Ruiz Francisco, Rubio Manuel, Barrios-Collado César, Sierra-Pallares Jose, Celi Simona

机构信息

Departamento de Ingeniería Energética y Fluidomecánica, Universidad de Valladolid, Paseo del Cauce 59, 47011, Valladolid, Spain.

BioCardioLab, Fondazione Toscana G. Monasterio, 54100, Massa, Italy.

出版信息

Ann Biomed Eng. 2025 Apr;53(4):966-979. doi: 10.1007/s10439-024-03672-0. Epub 2025 Jan 26.

DOI:10.1007/s10439-024-03672-0
PMID:39865185
Abstract

Extracorporeal Membrane Oxygenation (ECMO) is a modality of extracorporeal life support which allows temporary support in cases of cardiopulmonary failure and cardiogenic shock. This study presents a valveless pump that works by the Liebau effect as a possible pumping system in ECMO circuits, replacing the current roller and centrifugal pumps. For this purpose, a mock circulatory loop emulating the haemodynamic of the right part of the heart has been constructed. A veno-venous ECMO circuit with the integrated Liebau pump has been incorporated to analyse its performance. The Liebau pump in the ECMO circuit showed a flow assistance in the range of paediatric ECMO and low blood flow range for adults. In addition, experimental tests conducted demonstrated the advantage of the Liebau pump over currently used pumps as the ability to generate a pulsatile flow, which has many advantages in biomedical applications.

摘要

体外膜肺氧合(ECMO)是一种体外生命支持方式,可在心肺衰竭和心源性休克的情况下提供临时支持。本研究展示了一种基于利鲍效应工作的无阀泵,作为ECMO回路中可能的泵血系统,以取代当前的滚压泵和离心泵。为此,构建了一个模拟右心血流动力学的模拟循环回路。已将集成利鲍泵的静脉-静脉ECMO回路纳入以分析其性能。ECMO回路中的利鲍泵在儿科ECMO流量范围和成人低血流量范围内显示出流量辅助作用。此外,进行的实验测试证明了利鲍泵相对于当前使用的泵的优势,即能够产生脉动流,这在生物医学应用中有许多优点。

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1
A Novel Valveless Pulsatile Flow Pump for Extracorporeal Blood Circulation.一种用于体外血液循环的新型无阀搏动流泵。
Ann Biomed Eng. 2025 Apr;53(4):966-979. doi: 10.1007/s10439-024-03672-0. Epub 2025 Jan 26.
2
In vitro testing of a novel blood pump designed for temporary extracorporeal support.新型体外临时血液泵的体外测试。
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本文引用的文献

1
Pulsatile ECMO: The Future of Mechanical Circulatory Support for Severe Cardiogenic Shock.搏动性体外膜肺氧合:重度心源性休克机械循环支持的未来
JACC Basic Transl Sci. 2024 Apr 22;9(4):456-458. doi: 10.1016/j.jacbts.2024.02.015. eCollection 2024 Apr.
2
Experimental study of an asymmetric valveless pump to elucidate insights into strategies for pediatric extravascular flow augmentation.一种非对称无阀泵的实验研究,旨在深入了解儿科血管外血流增强策略。
Sci Rep. 2022 Dec 22;12(1):22165. doi: 10.1038/s41598-022-26524-0.
3
A Hybrid Mock Circulatory Loop for Fluid Dynamic Characterization of 3D Anatomical Phantoms.
一种用于3D解剖模型流体动力学特性表征的混合模拟循环回路。
IEEE Trans Biomed Eng. 2023 May;70(5):1651-1661. doi: 10.1109/TBME.2022.3224581. Epub 2023 Apr 20.
4
Building Valveless Impedance Pumps From Biological Components: Progress and Challenges.利用生物组件构建无阀阻抗泵:进展与挑战
Front Physiol. 2022 Jan 31;12:770906. doi: 10.3389/fphys.2021.770906. eCollection 2021.
5
Evaluation, Treatment, and Impact of Neurologic Injury in Adult Patients on Extracorporeal Membrane Oxygenation: a Review.成人患者体外膜肺氧合中神经损伤的评估、治疗及影响:一项综述
Curr Treat Options Neurol. 2021;23(5):15. doi: 10.1007/s11940-021-00671-7. Epub 2021 Mar 31.
6
Evaluation of Recirculation During Venovenous Extracorporeal Membrane Oxygenation Using Computational Fluid Dynamics Incorporating Fluid-Structure Interaction.运用包含流固耦合的计算流体动力学评估静脉-静脉体外膜肺氧合中的再循环。
ASAIO J. 2021 Aug 1;67(8):943-953. doi: 10.1097/MAT.0000000000001314.
7
Extracorporeal Life Support Organization (ELSO): 2020 Pediatric Respiratory ELSO Guideline.体外生命支持组织(ELSO):2020 年小儿呼吸 ELSO 指南。
ASAIO J. 2020 Sep/Oct;66(9):975-979. doi: 10.1097/MAT.0000000000001223.
8
3D Printing in Modern Cardiology.3D 打印在现代心脏病学中的应用。
Curr Pharm Des. 2021;27(16):1918-1930. doi: 10.2174/1381612826666200622132440.
9
Extracorporeal membrane oxygenation: a literature review.体外膜肺氧合:文献综述
Rev Bras Ter Intensiva. 2019 Oct 14;31(3):410-424. doi: 10.5935/0103-507X.20190063. eCollection 2019.
10
ECMO and Short-term Support for Cardiogenic Shock in Heart Failure.体外膜肺氧合和心力衰竭性心原性休克的短期支持。
Curr Cardiol Rep. 2018 Aug 16;20(10):87. doi: 10.1007/s11886-018-1041-4.