Tayama E, Niimi Y, Takami Y, Ohashi Y, Ohtsuka G, Glueck J A, Mueller J, Nosé Y
Department of Surgery, Baylor College of Medicine, Houston, Texas, USA.
Artif Organs. 1997 Dec;21(12):1284-7. doi: 10.1111/j.1525-1594.1997.tb00489.x.
Centrifugal pumps are generally employed as nonpulsatile blood flow pumps; however, these pumps can produce pulsatile flow by periodically alternating the impeller rotation speed. This study investigates blood trauma due to the effect of pulse frequency and various ranges of pump speed. The hemolysis tests were conducted using the Gyro C1E3 pump. The study was divided into the following categories: Group 1 in a nonpulsatile mode; Group 2 operated at 40 bpm with 30% of speed variance; Group 3, 60 bpm with 30% of speed variance; Group 4, 40 bpm with 70% of speed variance; and Group 5, 60 bpm with 70% of speed variance. A flow rate of 3 L/min and a total pressure head of 200 mm Hg were employed in all groups to simulate a percutaneous cardiopulmonary support condition. There were no significant differences in the hemolysis levels among Groups 1, 2, and 3. However, Groups 4 and 5 exhibited a significantly higher hemolysis rate compared to the other groups. These results indicate that a high rate of speed variance increases hemolysis; however, a range of less than 30% does not affect hemolysis. The pulse rate has no significant effect on hemolysis. In conclusion, the higher speed variance increases the hemolysis level when a pulsatile mode is applied with a centrifugal pump at the given test conditions. However, a speed variance of less than 30% or a pulse rate of less than 60 bpm does not affect hemolysis.
离心泵通常用作非搏动性血流泵;然而,这些泵可以通过周期性地改变叶轮转速来产生搏动性血流。本研究调查了脉冲频率和不同泵速范围的影响所导致的血液损伤。使用Gyro C1E3泵进行溶血试验。该研究分为以下几组:第1组为非搏动模式;第2组以40次/分钟的频率运行,速度变化为30%;第3组为60次/分钟,速度变化为30%;第4组为40次/分钟,速度变化为70%;第5组为60次/分钟,速度变化为70%。所有组均采用3升/分钟的流速和200毫米汞柱的总压头来模拟经皮心肺支持情况。第1、2和3组之间的溶血水平没有显著差异。然而,第4组和第5组的溶血率明显高于其他组。这些结果表明,高速度变化率会增加溶血;然而,低于30%的变化率不会影响溶血。脉搏率对溶血没有显著影响。总之,在给定的试验条件下,当离心泵采用搏动模式时,较高的速度变化率会增加溶血水平。然而,低于30%的速度变化率或低于60次/分钟的脉搏率不会影响溶血。