Design of a physiologic pulsatile flow cardiopulmonary bypass system for neonates and infants

International Journal of Artificial Organs

Volumn 19, Issue 3, 1996, Pages 170-176

  Undar A ^a   Runge, T M ^a,b   Miller, O L ^b   Felger, M C ^b   Lansing, R ^b   Korvick, D L ^b   Bohls, F O ^a   Ottmers, S E ^a   O'Dell, B J ^b   Ybarra, J R ^b   Howelton, R V ^b   Mireles, R Z ^b   Benson, C K ^b   Holland, M C ^a   Calhoon, J H ^b  

^a The University of Texas at Austin   (United States)

^b UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO   (United States)

Author keywords

Extracorporeal circulatory support; Infantile cardiopulmonary bypass; Pulsatile flow

Indexed keywords

BLOOD PRESSURE; HEMODYNAMICS;

ARTERIAL FILTERS; BYPASS SYSTEMS; CARDIOPULMONARY BYPASS; CIRCULATORY SUPPORT; EXTRACORPOREAL CIRCUITS; EXTRACORPOREAL CIRCULATORY SUPPORT; IN-VITRO; INFANTILE CARDIOPULMONARY BYPASS; NEUROLOGIC DAMAGE; SURGICAL TECHNIQUES;

PULSATILE FLOW;

ARTICLE; CARDIOPULMONARY BYPASS; EXTRACORPOREAL CIRCULATION; INFANT; MEDICAL INSTRUMENTATION; NEWBORN; PULSATILE FLOW;

EID: 9044230535     PISSN: 03913988     EISSN: None     Source Type: Journal    
DOI: 10.1177/039139889601900306     Document Type: Article

References (40)

1. Menghini A. Oxygenation design: a global approach. Perfusion 1993; 8: 87-92.
2. Ferry PC. Neurologic sequelae of open-heart surgery in children. AJDC 1990; 144: 369-73.
3. Gates RN, Cushen CK, Laks H. Cardiopulmonary bypass in infants and children. In: Gravlee GP, Davis RF, Utley JR, eds. Cardiopulmonary bypass principles and practice. Baltimore, Maryland. Williams & Wilkens 1993; 603-35.
4. Kay PH. Low flow and circulatory arrest. In: Kay PH, ed. Techniques in extracorporeal circulation 3rd ed. Oxford, UK: Butterworth-Heinemann 1993: 211-30.
5. Kern FH, Hickey PR. The effects of Cardiopulmonary bypass on the brain. In: Jonas RA, Elliott MJ, eds. Cardiopulmonary bypass in neonates, infants and young children. Oxford, UK: Butterworth-Heinemann 1994; 263-85.
6. Mezrow CK, Midulla PS, Sadeghi AM, et al. Evaluation of cerebral metabolism and quantitative electroencephalography after hypothermic circulatory arrest and low-flow cardiopulmonary bypass at different temperatures. J Thorac Cardiovasc Surg 1994; 107: 1006-19.
7. Ninomiya J, Shoji T, Tanaka S, et al. Clinical evaluation of a new type of centrifugal pump. Artif Organs 1994; 18 (9): 702-5.
8. Belcher P, Lennox SC. The effects of low-flow, low pressure pulsatile bypass. J Cardiovasc Surg 1985; 26: 223-7.
9. Onoe M, Mori A, Watarida S, et al. The effect of pulsatile perfusion on cerebral blood flow during profound hypothermia with total circulatory arrest. J Thorac Cardiovasc Surg 1994; 108 (1): 119-25.
10. Mori A, Sono J, Nakashima M, Minami K, Okada Y. Application of pulsatile cardiopulmonary bypass for profound hypothermia in cardiac surgery. Jap Circ J 1981; 45: 315-22.
11. Dunn J, Kirsh MM, Harness J, Carroll M, Straker J, Sloan H. Hemodynamics, metabolic and hematologic effects of pulsatile cardiopulmonary bypass. J Thorac Cardiovasc Surg 1974; 68: 138-47.
12. Grossi EA, Connolly MW, Krieger KH, et al. Quantification of pulsatile flow during cardiopulmonary bypass to permit direct comparison of various types pulsatile and nonputsatile flow. Surgery 1985; 98: 574-84.
13. Hickey PR, Mortimer JB, Philbin DM. Pulsatile and nonpulsatile cardiopulmonary bypass: review of a counterproductive controversy. Ann Thorac Surg 1983; 36 (6). 720-37.
14. Jacobs LA, Klopp EH, Seamone W, Topaz SR, Gott VL. Improved organ function during cardiac bypass with a roller pump modified to deliver pulsatile flow. J Thorac Cardiovasc Surg 1969; 58 (5): 703-12.
15. Mavroudis C To pulse or not to pulse. Ann Thorac Surg 1978; 25 (3): 259-71.
16. Runge TM, Grover FL, Cohen DJ, Bohls FO, Ottmers SE. Preload-responsive, pulsatile flow, externally valved pump: cardiopulmonary bypass. J Invest Surg 1989; 2: 269-79.
17. Runge TM, Grover FL, Cohen DJ, et al. Comparison of a steady flow pump to a preload responsive pulsatile pump in left at rial-to-aorta bypass in canines. Artif Organs 1991; 15 (1): 35-41.
18. Taylor KM, Wright GS, Reid JM et al. Comparative studies of pulsatile and nonpulsatile flow during cardiopulmonary bypass. J Thorac Cardiovasc Surg 1978; 75 (4): 574-84.
19. Trinkle JK, Helton N, Bryant LR, Griffen WO. Pulsatile cardiopulmonary bypass: clinical evaluation. Surgery 1970; 68 (6): 1074-8.
20. Bregman D, Kesseibrenner M, Sack JB. Pulsatile flow during cardiopulmonary bypass. In: Kay PH, ed. Techniques in extracorporeal circulation 3rd ed. Oxford, UK: Butterworth-Heinemann 1993; 211-30.
21. Runge TM, Cohen DJ, Hantler CB, et al. Achievement of physiologic pulsatile flow on cardiopulmonary bypass with a 24 french cannula. ASAIO Journal 1992; 38 (3): 726-9.
22. Weissler AM. Non-invasive Cardiology. New York: Grune&Stratton, 1974; 307-14.
23. Gourlay T, Gibbons M, Taylor KM. Pulsatile flow compatibility of a group of membrane oxygenators. Perfusion 1987; 2: 115-26.
24. Briceno JC, Runge TM. Tubing spallation in extracorporeal circuits. An in vitro study using an electronic particle counter. Int J Artif Organs 1992; 15 (4): 222-8.
25. Hindman BJ, Dexter F, Ryu KH, Smith T, Cutkomp J. Pulsatile versus nonpulsatile cardiopulmonary bypass. Anesthesiology 1994; 80 (5): 1137-47.
26. Hindman BJ, Dexter F, Smith T, Cutkomp J. Pulsatile versus nonpulsatile flow. Anesthesiology 1995; 82: 241-50.
27. Boucher JK, Rudy LW, Edmunds H. Organ blood flow during pulsatile cardiopulmonary bypass. JOAP 1974; 36 (1): 86-90.
28. Mezrow CK, Midulla PS, Sadeghi AM, et al. Quantitative electroencephalography: a method to assess cerebral injury after hypothermic circulatory arrest. J Thorac Cardiovasc Surgery 1995; 109: 925-34.
29. Mezrow CK, Gandsas A, Sadeghi AM, et al. Metabolic correlates of neurologic and behavioral injury after prolonged hypothermic circulatory arrest. J Thorac Cardiovasc Surg 1995; 109: 959-75.
30. Mezrow CK, Sadeghi AM, Gandsas A, et al. Cerebral blood flow and metabolism in hypothermic circulatory arrest. Ann Thorac Surg 1992; 54: 609-16.
31. Griepp EB, Griepp RB. Cerebral consequences of hypothermic circulatory arrest in adults. J Cardiovasc Surg 1992; 7: 139-55.
32. Kurth CD, Steven JM, Nlicolson SC. Cerebral oxygenation during pediatric cardiac surgery using deep hypothermic circulatory arrest. Anesthesiology 1995; 82: 74-82.
33. Wells FC, Coghill S, Caplan HL, Lincoln C Duration of circulatory arrest does influence the psychological development of children after cardiac operation in early life. J Thorac Cardiovasc Surg 1983; 86: 823-31.
34. Swain JA, McDonald TJ, Griffith PK, et al. Low-flow hypothermic cardiopulmonary bypass protects the brain. J Thorac Cardiovasc Surg 1991; 102: 76-84.
35. Mezrow CK, Sadeghi AM, Gandsas A, et al. Cerebral effects of low-flow cardiopulmonary bypass and hypothermic circulatory arrest. Ann Thorac Surg 1994; 57: 532-9.
36. Mault JR, Ohtake S, Klingensmith ME, et al. Cerebral metabolism and circulatory arrest: effects of duration and strategies for protection. Ann Thorac Surg 1993; 55: 57-64.
37. Wright JS, Hicks RG, Newman DC. Deep hypothermic arrest: observations on later development in children. J Thorac Cardiovasc Surg 1979; 77: 466-8.
38. Jonas RA. Review of current research at Boston Children's Hospital. Ann Thorac Surg 1993; 56: 1467-72.
39. Newburger JW, Jonas RA, Wernovsky G, et al. A comparison of the perioperative neurologic effects of hypothermic circulatory arrest versus low-flow cardiopulmonary bypass in infant heart surgery. N Engl J Med 1993; 329: 1057-64.
40. Bellinger DC, Jonas RA, Rappaport LA, et al. Development and neurologic status of children after heart surgery with hypothermic circulatory arrest or low-flow cardiopulmonary bypass. N Engl J Med 1995; 332: 549-55.