A ventricular assist device powered by conditioned skeletal muscle.
A ventricular assist device powered by conditioned skeletal muscle.
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由调节骨骼肌提供动力的心室辅助装置。
DOI:
10.1016/s0003-4975(99)00615-3
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发表时间:
1999
期刊:
影响因子:
--
通讯作者:
Olsen,DB
中科院分区:
文献类型:
--
作者:
Whalen,RL;Richards,CL;Lim,GW;Sherman,CW;Norman,JC;Bearnson,GB;Burns,GL;Olsen,DB
BackgroundWe are developing and testing a new ventricular assist device (VAD) to be powered by conditioned skeletal muscle.MethodsTo evaluate the VAD hardware and to develop a muscle training regimen, 8 calves have been used in studies in which the right latissimus dorsi muscle was employed. The experiments were carried out to an approximately 4-month duration.ResultsThere was significant conversion of type II (fast twitch) to type I (slow twitch) muscle fibers. This did not correlate well, however, with device performance. The device stroke volumes ranged from approximately 17 to 90 cc. This variability of outcome occurred despite the fact that identical hardware, surgical procedures, and training regimens were employed.ConclusionsThe results from the first eight studies lead us to speculate that perfusion may be important even when the muscle is working at pressures much lower than systemic blood pressure levels. In an attempt to augment tissue perfusion, we plan to investigate thermally induced angiogenesis as a possible mechanism for increasing blood flow to the tissue.