In vitro evaluation of a compliant inflow cannula reservoir to reduce suction events with extracorporeal rotary ventricular assist device support

Shaun David Gregory, Daniel Timms, Nicholas Richard Gaddum, Charles McDonald, Mark John Pearcy, John F. Fraser

Research output: Contribution to journalArticleResearchpeer-review

9 Citations (Scopus)

Abstract

Limited preload sensitivity of rotary left ventricular assist devices (LVADs) renders patients susceptible to harmful atrial or ventricular suction events. Active control systems may be used to rectify this problem; however, they usually depend on unreliable sensors or potentially inaccurate inferred data from, for example, motor current. This study aimed to characterize the performance of a collapsible inflow cannula reservoir as a passive control system to eliminate suction events in extracorporeal, rotary LVAD support. The reservoir was evaluated in a mock circulation loop against a rigid cannula under conditions of reduced preload and increased LVAD speed in both atrial and ventricular cannulation scenarios. Both cases demonstrated the ease with which chamber suction events can occur with a rigid cannula and confirm that the addition of the reservoir maintained positive chamber volumes with reduced preload and high LVAD speeds. Reservoir performance was dependent on height with respect to the cannulated chamber, with lower placement required in atrial cannulation due to reduced filling pressures. This study concluded that a collapsible inflow cannula is capable of minimizing suction events in extracorporeal, rotary LVAD support.

Original languageEnglish
Pages (from-to)765-772
Number of pages8
JournalArtificial Organs
Volume35
Issue number8
DOIs
Publication statusPublished - 1 Aug 2011
Externally publishedYes

Keywords

  • Compliant
  • Extracorporeal circulation
  • Heart failure
  • Suction event
  • Venous reservoir
  • Ventricular assist device

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