Application of cardiac assist device and its biomechanics research for heart failure_Journal of Biomedical Engineering

Authors：

CHEN Ying ^1,2 , YIN Zhongjie ² ,  TAN Wenchang ^1,2

1. Shenzhen Graduate School, Peking University, Shenzhen, Guangdong 518055, P.R.China;
2. College of Engineering, Peking University, Beijing 100871, P.R.China;

Corresponding?author：

Keywords：

cardiac assist device; heart failure; biomechanics; hemodynamics

DOI：

10.7507/1001-5515.201904041

Video：

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As an important means of treating heart failure (HF), cardiac assist device has been widely used in clinic. This paper reviews the application status, existing problems and future development trend of cardiac assist devices, including the classification of cardiac assist devices, representative research achievements and indications of the assist devices. It also summarizes the biomechanical indexes of the heart and the new approaches and methods for treating heart failure, as well as the hemodynamic studies of cardiac assist devices in recent years. The research findings provide references for further optimization of cardiac assist device structure and clinical application of the device.

Citation： CHEN Ying, YIN Zhongjie, TAN Wenchang. Application of cardiac assist device and its biomechanics research for heart failure. Journal of Biomedical Engineering, 2019, 36(6): 1043-1047. doi: 10.7507/1001-5515.201904041 Copy

1.	Oeing C U, Tsch?pe C, Pieske B. The new ESC guidelines for acute and chronic heart failure 2016. Herz, 2016, 41(8): 655-663.
2.	Huang Jun, Yin Hongjun, Zhang Milun, et al. Understanding the economic burden of heart failure in China: impact on disease management and resource utilization. J Med Econ, 2017, 20(5): 549-553.
3.	武文芳, 吳兵. 人工心臟的歷史及研究進展. 中國醫學裝備, 2008, 5(3): 55-58.
4.	Lim H S, Howell N, Ranasinghe A. The physiology of Continuous-Flow left ventricular assist devices. J Card Fail, 2017, 23(2): 169-180.
5.	黃鵬輝, 黃柊喻, 黨維國, 等. 用于心室輔助裝置血流動力學性能評價的體外模擬循環系統技術進展. 醫用生物力學, 2018, 33(4): 365-371.
6.	Krishnamoorthy A, Devore A D, Sun J L, et al. The impact of a failing right heart in patients supported by intra-aortic balloon counter pulsation. Eur Heart J Acute Cardiovasc Care, 2017, 6(8): 709-718.
7.	王旭. 兒童心室輔助裝置對心臟功能的輔助. 中國小兒急救醫學, 2018, 25(6): 407-410.
8.	連淑芬. J-Valve 介入人工生物心臟瓣膜臨床應用. 影像研究與醫學應用, 2019, 3(12): 150-152.
9.	Imamura T, Chung B, Nguyen A, et al. Clinical implications of hemodynamic assessment during left ventricular assist device therapy. J Cardiol, 2018, 71(4): 352-358.
10.	Mehra M R, Naka Yoshifumi, Uriel N, et al. A fully magnetically levitated circulatory pump for advanced heart failure. N Engl J Med, 2017, 376(5): 440-450.
11.	郭瀟雅. 國產人工心臟開啟醫學新時代. 中國醫院院長, 2018, 12: 28-29.
12.	Ponikowski P, Voors A A, Anker S D, et al. 2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur J Heart Fail, 2016, 18(8): 891-975.
13.	朱奇. 心室輔助裝置電磁兼容性評價. 科技與創新, 2019, 02: 61-62.
14.	張金麗, 程云章, 鄭淇文. 連續型血泵溶血性能評價方法分析. 中國醫學物理學雜志, 2018, 35(9): 1087-1093.
15.	Szwast M, Moskal A, Piatkiewicz W. A new method for assessing haemolysis in a rotary blood pump using large eddy simulations (LES). Chemical and Process Engineering, 2017, 38(2): 231-239.
16.	Ju M, Leo H L, Kim S. Numerical investigation on red blood cell dynamics in microflow: effect of cell deformability. Clin Hemorheol Microcirc, 2017, 65(2): 105-117.
17.	Mirsky I, Parmley W W. Assessment of passive elastic stiffness for isolated heart muscle and the intact heart. Circ Res, 1973, 33(2): 233-243.
18.	王靜, 劉鵬飛. 心臟磁共振成像對右心疾病的研究. 心血管病學進展, 2018, 29(12): 1078-1082.
19.	唐曉曉, 司效東. 超聲相關生物力學技術在評價糖尿病患者左心室收縮功能中的應用. 醫學綜述, 2017, 23(18): 3704-3712.
20.	Anyanwu E C, Bhatia A, Tehrani D M, et al. The accuracy of physical exam compared to RHC in LVAD patients. Journal of Heart and Lung Transplantation, 2017, 36(4, S): S341-S342.
21.	Sun Xiaotian, Li Jun, Zhao Weipeng, et al. Early assistance with left ventricular assist device limits left ventricular remodeling after acute myocardial infarction in a swine model. Artif Organs, 2016, 40(3): 243-251.
22.	Couperus L E, Delgado V, Khidir M J, et al. Pump speed optimization in stable patients with a left ventricular assist device. ASAIO J, 2017, 63(3): 266-272.
23.	Uriel N, Kim G, Burkhoff D. Myocardial recovery after LVAD implantation: a vision or simply an illusion?. J Am Coll Cardiol, 2017, 70(3): 355-357.
24.	常宇, 張亞歌, 谷凱云, 等. 人工心臟植入方式對主動脈內微栓運動規律的血流動力學影響. 北京工業大學學報, 2016, 42(4): 620-627.
25.	黃柊喻, 黨維國, 陳琛, 等. 完全磁懸浮心室輔助裝置的體外模擬循環系統實驗研究. 醫用生物力學, 2017, 32(2): 174-180.
26.	廖曉倩, 周曉輝. 非血液接觸式心室輔助裝置的現狀及展望. 中國醫療設備, 2018, 33(11): 113-117.
27.	Hydren J R, Kithas A C, Park S H, et al. Targeting peripheral vascular pulsatility in heart failure patients with continuous-flow left ventricular assist devices: the impact of pump speed. ASAIO J, 2019, 4(4): 1-9.
28.	Ahmad Bakir A, Al Abed A, Stevens M C, et al. A multiphysics biventricular cardiac model: simulations with a Left-Ventricular assist device. Front Physiol, 2018, 9: 1259.
29.	Sacks L D, Hollander S A, ZHANG Yulin, et al. Vasoplegia after pediatric cardiac transplantation in patients supported with a continuous flow ventricular assist device. J Thorac Cardiovasc Surg, 2019, 157(6): 2433-2440.
30.	Yang Y J, Huo Y, Xu Y W, et al. Percutaneous ventricular restoration therapy using the parachute device in Chinese patients with ischemic heart failure: three month primary endpoint results of PARACHUTE China Study. Chin Med J, 2016, 129(17): 2058-2062.
31.	江佩, 張平洋, 馬小五, 等. 左心室心肌力學參數預測心臟再同步化治療效果的臨床研究. 臨床醫學, 2017, 37(18): 945-946.

1. Oeing C U, Tsch?pe C, Pieske B. The new ESC guidelines for acute and chronic heart failure 2016. Herz, 2016, 41(8): 655-663.
2. Huang Jun, Yin Hongjun, Zhang Milun, et al. Understanding the economic burden of heart failure in China: impact on disease management and resource utilization. J Med Econ, 2017, 20(5): 549-553.
3. 武文芳, 吳兵. 人工心臟的歷史及研究進展. 中國醫學裝備, 2008, 5(3): 55-58.
4. Lim H S, Howell N, Ranasinghe A. The physiology of Continuous-Flow left ventricular assist devices. J Card Fail, 2017, 23(2): 169-180.
5. 黃鵬輝, 黃柊喻, 黨維國, 等. 用于心室輔助裝置血流動力學性能評價的體外模擬循環系統技術進展. 醫用生物力學, 2018, 33(4): 365-371.
6. Krishnamoorthy A, Devore A D, Sun J L, et al. The impact of a failing right heart in patients supported by intra-aortic balloon counter pulsation. Eur Heart J Acute Cardiovasc Care, 2017, 6(8): 709-718.
7. 王旭. 兒童心室輔助裝置對心臟功能的輔助. 中國小兒急救醫學, 2018, 25(6): 407-410.
8. 連淑芬. J-Valve 介入人工生物心臟瓣膜臨床應用. 影像研究與醫學應用, 2019, 3(12): 150-152.
9. Imamura T, Chung B, Nguyen A, et al. Clinical implications of hemodynamic assessment during left ventricular assist device therapy. J Cardiol, 2018, 71(4): 352-358.
10. Mehra M R, Naka Yoshifumi, Uriel N, et al. A fully magnetically levitated circulatory pump for advanced heart failure. N Engl J Med, 2017, 376(5): 440-450.
11. 郭瀟雅. 國產人工心臟開啟醫學新時代. 中國醫院院長, 2018, 12: 28-29.
12. Ponikowski P, Voors A A, Anker S D, et al. 2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur J Heart Fail, 2016, 18(8): 891-975.
13. 朱奇. 心室輔助裝置電磁兼容性評價. 科技與創新, 2019, 02: 61-62.
14. 張金麗, 程云章, 鄭淇文. 連續型血泵溶血性能評價方法分析. 中國醫學物理學雜志, 2018, 35(9): 1087-1093.
15. Szwast M, Moskal A, Piatkiewicz W. A new method for assessing haemolysis in a rotary blood pump using large eddy simulations (LES). Chemical and Process Engineering, 2017, 38(2): 231-239.
16. Ju M, Leo H L, Kim S. Numerical investigation on red blood cell dynamics in microflow: effect of cell deformability. Clin Hemorheol Microcirc, 2017, 65(2): 105-117.
17. Mirsky I, Parmley W W. Assessment of passive elastic stiffness for isolated heart muscle and the intact heart. Circ Res, 1973, 33(2): 233-243.
18. 王靜, 劉鵬飛. 心臟磁共振成像對右心疾病的研究. 心血管病學進展, 2018, 29(12): 1078-1082.
19. 唐曉曉, 司效東. 超聲相關生物力學技術在評價糖尿病患者左心室收縮功能中的應用. 醫學綜述, 2017, 23(18): 3704-3712.
20. Anyanwu E C, Bhatia A, Tehrani D M, et al. The accuracy of physical exam compared to RHC in LVAD patients. Journal of Heart and Lung Transplantation, 2017, 36(4, S): S341-S342.
21. Sun Xiaotian, Li Jun, Zhao Weipeng, et al. Early assistance with left ventricular assist device limits left ventricular remodeling after acute myocardial infarction in a swine model. Artif Organs, 2016, 40(3): 243-251.
22. Couperus L E, Delgado V, Khidir M J, et al. Pump speed optimization in stable patients with a left ventricular assist device. ASAIO J, 2017, 63(3): 266-272.
23. Uriel N, Kim G, Burkhoff D. Myocardial recovery after LVAD implantation: a vision or simply an illusion?. J Am Coll Cardiol, 2017, 70(3): 355-357.
24. 常宇, 張亞歌, 谷凱云, 等. 人工心臟植入方式對主動脈內微栓運動規律的血流動力學影響. 北京工業大學學報, 2016, 42(4): 620-627.
25. 黃柊喻, 黨維國, 陳琛, 等. 完全磁懸浮心室輔助裝置的體外模擬循環系統實驗研究. 醫用生物力學, 2017, 32(2): 174-180.
26. 廖曉倩, 周曉輝. 非血液接觸式心室輔助裝置的現狀及展望. 中國醫療設備, 2018, 33(11): 113-117.
27. Hydren J R, Kithas A C, Park S H, et al. Targeting peripheral vascular pulsatility in heart failure patients with continuous-flow left ventricular assist devices: the impact of pump speed. ASAIO J, 2019, 4(4): 1-9.
28. Ahmad Bakir A, Al Abed A, Stevens M C, et al. A multiphysics biventricular cardiac model: simulations with a Left-Ventricular assist device. Front Physiol, 2018, 9: 1259.
29. Sacks L D, Hollander S A, ZHANG Yulin, et al. Vasoplegia after pediatric cardiac transplantation in patients supported with a continuous flow ventricular assist device. J Thorac Cardiovasc Surg, 2019, 157(6): 2433-2440.
30. Yang Y J, Huo Y, Xu Y W, et al. Percutaneous ventricular restoration therapy using the parachute device in Chinese patients with ischemic heart failure: three month primary endpoint results of PARACHUTE China Study. Chin Med J, 2016, 129(17): 2058-2062.
31. 江佩, 張平洋, 馬小五, 等. 左心室心肌力學參數預測心臟再同步化治療效果的臨床研究. 臨床醫學, 2017, 37(18): 945-946.

Journal of Biomedical Engineering

Application of cardiac assist device and its biomechanics research for heart failure

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