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CNR - Institute of Clinical Physiology - Secondary Section of Rome
Cardiovascular Numerical/Hybrid Modelling Lab: CARDIOSIM©
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Heart Assist Devices

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Right Ventricular Assist Devices

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Pulsatile and Countinuous Flow Pump Implemented into CARDIOSIM© as Right Ventricular Assist Device.

The pulsatile ventricular assist device (VAD) implemented into CARDIOSIM© is a pneumatic VAD connected "in serie" or "in parallel" to the right ventricle as right ventricular assist device (RVAD). Hempump is a continuous blood flow pump implemented into CARDIOSIM© connected "in serie" to the right ventricle as RVAD Hemopump takes blood from the right ventricle and ejects it into the pulmonary artery.
  

 

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Electric analogue of the cardiovascular system and pneumatic right ventricular assist device (RVAD)

 

The right pneumatic ventricular assist device (RVAD) can be connected "in serie" or "in parallel" mode. When RVAD is connected "in serie" ("in parallel") mode, it takes blood from the right ventricle (atrium) and ejects it into the pulmonary artery. In the reported configuration the cardiocirculatory network is composed by: systemic (pulmonary) arterial section modelled with a 4-WM (RLC elements) where Ras (Rap) is a variable peripheral resistance; systemic (pulmonary) venous section modelled by a variable resistace Rvs (a resistance Rvp) and a compliance Cvs (Cvp). HEART: the ejection and contraction phases of both ventricles are reproduced using the variable elastance model; the right (left) atrium is described as a linear capacity characterised by constant value of compliance Cra (Cla) and unstressed volume, i.e. the contractile activity of the atrium is neglected (see the Numerical Heart Model (1) section). The connection of the ventricles to the circulatory network is realised by means of valves (mitral (MV), aortic (AV), tricuspid (TV) and pulmonary (PV)), which are assumed to be ideal.

 

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Electric analogue of the cardiovascular system and pneumatic right ventricular assist device (RVAD)

 

When RVAD is connected "in serie" ("in parallel") mode, it takes blood from the right ventricle (atrium) and ejects it into the pulmonary artery. In the reported configuration the cardiocirculatory network is composed by: systemic arterial section modelled with two RLC (Ras1, Las1, Cas1 and Ras2, Las2 and Cas2) elements and a peripheral resistance Rcbs (see systemic network 2); pulmonary arterial section reproduced with 4-MW element (Rap, Rcbp, Lap and Cap); systemic venous section modelled with two variable resistaces (Rvs1 and Rvs2) and a compliance Cvs; pulmonary venous comparment implemented with 3-WM element (Rvp1, Rvp2 and Cvp). HEART: the ejection and contraction phases of both ventricles are reproduced using the variable elastance model; the right (left) atrium is described as a linear capacity characterised by constant value of compliance Cra (Cla) and unstressed volume, i.e. the contractile activity of the atrium is neglected (see the Numerical Heart Model (1) section). The connection of the ventricles to the circulatory network is realised by means of valves (mitral (MV), aortic (AV), tricuspid (TV) and pulmonary (PV)), which are assumed to be ideal.

 

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Electric Analogue of Circulatory Network with Hemopump Right Ventricular Assist Device (RVAD).

 

The electric analogue of the cardiovascular system (CVS) consists of left and right herat (described in Numerical Heart Model (1) section), systemic arterial section, splanchnic peripheral and venous circulation, extrasplanchnic peripheral and venous circulation, peripheral and venous circulation in active muscle compartment, systemic thoracic vein section, pulmonary arterial, peripheral and veins sections and coronary circulation. QiHEMO (QoHEMO) is the input (output) RVAD pump flow.

 

In:  C. De Lazzari, G. Ferrari (2007). Right ventricular assistance by continuous flow device. A numerical simulation. Methods Inf. Med., 46(5), 530-537.

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  • Index of Assist Devices
  • Pulsatile Flow Pump
  • Continuous Flow Pump
  • Intra-aortic balloon pump (IABP)
  • Biventricular Pacemaker (BiV)
  • Biventricular Assist Devices (BVAD)
  • Left Ventricular Assist Devices (LVAD)
  • Right Ventricular Assist Devices (RVAD)
  • Total Artificial Heart (TAH)
  • Thoracic Artificial Lung (TAL)
  • Extra-Corporeal Membrane Oxygenation (ECMO)
  • TandemHeart
  • Impella
  • ProtekDuo
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