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. 2024 Apr;17(4):e011330.
doi: 10.1161/CIRCHEARTFAILURE.123.011330. Epub 2024 Mar 1.

Mechanically Regulating Cardiac Preload to Maximize Left Ventricular Unloading With a Transvalvular Microaxial Flow Pump

Affiliations

Mechanically Regulating Cardiac Preload to Maximize Left Ventricular Unloading With a Transvalvular Microaxial Flow Pump

Navin K Kapur et al. Circ Heart Fail. 2024 Apr.
No abstract available

Keywords: animal; arteries; catheter; hemodynamics; oxygen consumption.

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Conflict of interest statement

Disclosures Dr Kapur receives institutional grant support and consulting/speaking honoraria from Abbott, Abiomed, Boston Scientific, CardiacBooster, Edwards, Getinge, LivaNova, Teleflex, and Zoll. He is co-founder of Precardia Inc (acquired by Abiomed Inc), X-Tension Inc, and Tulyp Inc. All other authors do not have any relevant disclosures.

Figures

Figure.
Figure.
Mechanically Reducing Preload to Augment Left Ventricular Unloading A) Representative pressure-volume loops illustrating reduced left ventricular pressure and volume after activation of the preCARDIA superior vena cava occlusion system in the presence of an Impella CP pump activated, known as PrePella, at P3 or P8 levels of support. B) Pressure-time tracings from the LV (black) and aorta (red) demonstrate reduced aortic pulse pressure and flattening of the tracing during systolic ejection and diastolic filling during PrePella activation. C) Summary of hemodynamic parameters during each condition (n=5 adult swine).

References

    1. Fukamachi K, Shiose A, Massiello A, Horvath DJ, Golding LA, Lee S, Starling RC. Preload sensitivity in cardiac assist devices. Ann Thorac Surg. 2013. Jan;95(1):373–80. doi: 10.1016/j.athoracsur.2012.07.077. - DOI - PMC - PubMed
    1. Saku K, Kakino T, Arimura T, Sunagawa G, Nishikawa T, Sakamoto T, Kishi T, Tsutsui H, Sunagawa K. Left Ventricular Mechanical Unloading by Total Support of Impella in Myocardial Infarction Reduces Infarct Size, Preserves Left Ventricular Function, and Prevents Subsequent Heart Failure in Dogs. Circ Heart Fail. 2018. May;11(5):e004397. - PubMed
    1. Swain L, Reyelt L, Bhave S, Qiao X, Thomas CJ, Zweck E, Crowley P, Boggins C, Esposito M, Chin M, Karas RH, O’Neill W, Kapur NK. Transvalvular Ventricular Unloading Before Reperfusion in Acute Myocardial Infarction. J Am Coll Cardiol. 2020. Aug 11;76(6):684–699. - PMC - PubMed
    1. Kapur NK, Kiernan MS, Gorgoshvili I, Yousefzai R, Vorovich EE, Tedford RJ, Sauer AJ, Abraham J, Resor CD, Kimmelstiel CD, Benzuly KH, Steinberg DH, Messer J, Burkhoff D, Karas RH. Intermittent Occlusion of the Superior Vena Cava to Improve Hemodynamics in Patients With Acutely Decompensated Heart Failure: The VENUS-HF Early Feasibility Study. Circ Heart Fail. 2022. Feb;15(2):e008934. - PubMed
    1. Kapur NK, Jumean M, Halin N, Kiernan MS, DeNofrio D, Pham DT. Ventricular square-wave response: case illustrating the role of invasive hemodynamics in the management of continuous-flow left ventricular assist device dysfunction. Circ Heart Fail. 2015. May;8(3):652–4. - PubMed