Analysis of the impact of left ventricular assist devices on the systemic circulation

2020 ◽  
Vol 35 (5) ◽  
pp. 295-314
Author(s):  
Sergey S. Simakov ◽  
Alexander E. Timofeev ◽  
Timur M. Gamilov ◽  
Philipp Yu. Kopylov ◽  
Dmitry V. Telyshev ◽  
...  

AbstractIn this work we analyze the impact of left ventricular assist devices on the systemic circulation in subjects with heart failure associated with left ventricular dilated cardiomyopathy. We use an integrated model of the left heart and blood flow in the systemic arteries with a left ventricular assist device. We study the impact of the rotation speed of the pump on haemodynamic characteristics of distal arteries. We identify the rotation speed for simultaneous recovery of the healthy average values in all systemic arteries, the heart and the aorta. Our numerical experiments show that blood distribution over the graph of systemic vessels does not depend on flow regimes in ascending aorta. We also observe that the optimal pump rotation speed changes in the atherosclerotic vascular network and depends on stenoses localization.

2014 ◽  
Vol 12 (5) ◽  
pp. 589-600 ◽  
Author(s):  
M Scott Halbreiner ◽  
Vincent Cruz ◽  
Randall Starling ◽  
Edward Soltesz ◽  
Nicholas Smedira ◽  
...  

2021 ◽  
Author(s):  
Michael J Javorski ◽  
Anthony Zaki ◽  
Motaz Abas ◽  
Haytham Elgharably ◽  
Tamer S Attia

Left ventricular assist devices (LVADs) have changed the landscape of treatment options for patients with end stage heart failure. Due to the limited availability of donor hearts for transplantation, LVADs have become an important option for many of these patients. Much progress has been made in the device industry since then, and newer devices continue to improve patient outcomes. In this review, we will discuss some of the key transitions in LVADs over the years, the current LVADs used in practice today, implantation techniques, the impact of the new heart allocation system on LVAD use and future prospective LVADs.


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