DOI QR코드

DOI QR Code

Biocompatibility Evaluation of Bent-Type Left Ventricular Assist Device During Long-Term Animal Experiment and Emergent Situation

장기 동물 실험 및 응급상황에서의 곡관형 좌심실보조장치의 생체적합성 평가

  • Kang, Seong Min (Dept. of Fusion System Engineering, Kangwon Nat'l Univ.) ;
  • Her, Keun (Cardiovascular and Thoracic Surgery, Soonchunhyang University Hospital) ;
  • Choi, Seong Wok (Dept. of Fusion System Engineering, Kangwon Nat'l Univ.)
  • 강성민 (강원대학교 융합시스템공학과) ;
  • 허균 (순천향대학병원 흉부외과) ;
  • 최성욱 (강원대학교 융합시스템공학과)
  • Received : 2014.03.28
  • Accepted : 2014.06.30
  • Published : 2014.09.01

Abstract

Although medication is given to heart disease patients, conventional medication alone is not sufficient to treat heart disease. However, it has been reported that left ventricular assist device (LVAD) transplantation is an effective bridge to heart transplantation by assisting cardiac function. This study used long-term animal testing and emergency situations with a bovine model (Holstein) and canine model (Labrador-retriever) to evaluate the biocompatibility of LibraHeart-I (LH-1), which is a bent-tube type of LVAD that was developed in a previous study. In the long-term animal testing with the bovine model, the subjects survived for 49 days with no irregularities observed in their complete blood cell counts or the vital sign tests that were carried out during the test period. In short-term animal testing with the canine model, it was observed that blood did not remain inside the LH-I even without power support from an external drive source. In this study, the biocompatibility of the LH-I that was developed in a previous study was verified by the ejection performance during long-term animal testing and emergency situations.

심장 질환 환자에게 약물 치료를 시행하고 있으나, 통상의 약물 치료만으로는 심장질환을 치료하기에는 부족하다. 그러나 LVAD 를 이식한다면 심장기능을 보조하여 심장 이식까지의 가교 역할로서 효과가 있다고 보고되고 있다. 본 연구에서는 선행 연구로 개발된 곡관형 LVAD 인 LibraHeart-I(LH-1)을 이용하여, 대동물(Bovine model, Holstein)과 소동물(canine model, Labrador-retriever)을 대상으로 장기간 동물실험 및 응급상황에서의 생체적합성을 평가하고자 한다. 대동물을 대상으로 실시한 장기간의 동물 실험에서 49 일 생존하였으며, 실험기간 동안 실시한 혈액 검사 및 생징후에서 특이 소견을 관찰되지 않았다. 소동물을 대상으로 한 단기간의 동물 실험에서는 외부 구동부의 동력 지원 없이도 LH-I 내에 혈액이 머무르지 않는 것으로 관찰되었다. 본 연구에서는 장기간 동물실험 및 응급상황에서의 박출 성능을 통해 선행 연구로 개발된 LH-I의 생체적합성을 검증하였다.

Keywords

References

  1. Ganesh, S. K., Patrick, M. M. and Katherine, J. H., 2001, "Left Ventricular Assist Device Bridge to Recovery: A Review of the Current Status," Ann Thorac Surg, Vol. 71, pp.103-108. https://doi.org/10.1016/S0003-4975(00)02630-8
  2. Josef, S., Leah, B. E. Anna, Y. K., Christian, B., Jason, D. C., Anne, I. D., Fabienne, D., Richard, K., Axel, O. R. and Marshall, I. H., 2012, "The Registry of the International Society for Heart and Lung Transplantation: 29th Official Adult Heart Transplant Report-2012," International Society of Heart and Lung Transplantation, Vol. 31, No. 10, pp.1052-1064. https://doi.org/10.1016/j.healun.2012.08.002
  3. Antonio, A., Gianluca, B., Guido, M., Sergio, F., Zaccaria, R., Stefano, M., Maria, G. G., Roberta, I., Giacomo, P. and Roberto, M. D., 2010, "Pneumatic Pulsatile Ventricular Assist Device as a Bridge to Heart Transplantation in Pediatric Patients," Artif Organs, Vol. 34, No. 11, pp.1017-1022. https://doi.org/10.1111/j.1525-1594.2010.01144.x
  4. Soon J. P., Alfred T., William P., Edward R., Annetine G., Alan M., Eric R., William H., Satoshi F., Howard F., Walter D., 2005 "Left ventricular assist devices as destination therapy: A new look at survival," J Thorac Cardiovasc Surg , Vol. 129, pp.9-17. https://doi.org/10.1016/j.jtcvs.2004.04.044
  5. Korfer , R., El-Banayosy, A., Arusoglu, L., Minami, K., Korner, M. M., Kizner, L., Fey, O., Schutt, U. , Morshuis, M. and Posival, H., 2000, "Single-center Experience with the Thoratec Ventricular Assist Device," J Thorac Cardiovasc Surg, Vol. 119, No. 3, pp.596-600. https://doi.org/10.1016/S0022-5223(00)70142-5
  6. Goldstein, D., Oz, M. and Rose, E., 1998, "Implantable Left Ventricular Assist Devices," N Engl J Med, Vol. 339, No. 21, pp.1522-1533. https://doi.org/10.1056/NEJM199811193392107
  7. Alan, J. M., Alan, D. W., Mehmet, C. O. and Deborah, L. W., 1997, "Quality of Life With an Implanted Left Ventricular Assist Device," Ann Thorac Surg, Vol. 64, pp.1764-1769. https://doi.org/10.1016/S0003-4975(97)01000-X
  8. Katherine, L., James, W. L., Abdallah, G. K., Mark, S. S., Marc, A. S., Carmelo, A. M., Joseph, G. R., Yoshifumi, N., Donna, M. and Leslie, W. M., 2007, "Outcomes of Left Ventricular Assist Device Implantation as Destination Therapy in the Post-REMATCH Era Implications for Patient Selection," Circulation, Vol. 116, pp.497-505. https://doi.org/10.1161/CIRCULATIONAHA.107.691972
  9. Walter, P. D., Alfred, J. T., Soon, P., Alan, J. M., Annetine, C. G., Nuala, S. R., William, P., William, L. H., Satoshi, F., Frazier, O. H., Alan, D. W., Gerald, H., Victor, L. P., Laura, D. and James, W. L., 2004, "Left Ventricular Assist Device Performance With Long-Term Circulatory Support: Lessons From the REMATCH Trial," Ann Thorac Surg, Vol. 78, pp.2123-2130. https://doi.org/10.1016/j.athoracsur.2004.02.030
  10. Eric, A. R., Annetine, C. G., Alan, J. M., Daniel, F. H., Lynne, W. S., Walter, D., James, W. L., Deborah, D. A., Anita, R. T., Ronald, G. L., John, T. W. and Paul, M., 2001, "Long-term Use of a Left Ventricular Assist Device for End-stage Heart Failure," N Engl J Med, Vol. 345, No. 20, pp.1435-1443. https://doi.org/10.1056/NEJMoa012175
  11. Rose, E. A., Levin, H. R., Oz, M. C., Frazier, O. H., Macmanus, Q., Burton, N. A. and Lefrak, E. A., 1994, "Artificial Circulatory Support with Textured Interior Surfaces: a Counterintuitive Approach to Minimizing Thromboembolism," Circulation, Vol. 90, No. 5, pp.87-91. https://doi.org/10.1161/01.CIR.90.1.87
  12. Kang, S. M. and Choi, S. W., 2011, "Blood Flow and Pressure Evaluation for a Pulsatile Conduit-Shaped Ventricular Assist Device with Characteristic of Conduit Shape," Trans. Korean Soc. Mech. Eng. B, Vol. 35, No. 11, pp. 1191-2011. https://doi.org/10.3795/KSME-B.2011.35.11.1191

Cited by

  1. Outflow monitoring of a pneumatic ventricular assist device using external pressure sensors vol.15, pp.1, 2016, https://doi.org/10.1186/s12938-016-0204-z