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e-Article

Hemocompatibility and hemodynamic comparison of two centrifugal LVADs: HVAD and HeartMate3.
Document Type
Article
Source
Biomechanics & Modeling in Mechanobiology. Jun2023, Vol. 22 Issue 3, p871-883. 13p.
Subject
*HEART assist devices
*ARTIFICIAL blood circulation
*COMPUTATIONAL fluid dynamics
*HEMODYNAMICS
*MAGNETIC suspension
*MAGNETIC bearings
Language
ISSN
1617-7959
Abstract
Mechanical circulatory support using ventricular assist devices is a common technique for treating patients suffering from advanced heart failure. The latest generation of devices is characterized by centrifugal turbopumps which employ magnetic levitation bearings to ensure a gap clearance between moving and static parts. Despite the increasing use of these devices as a destination therapy, several long-term complications still exist regarding their hemocompatibility. The blood damage associated with different pump designs has been investigated profoundly in the literature, while the hemodynamic performance has been hardly considered. This work presents a novel comparison between the two main devices of the latest generation–HVAD and HM3–from both perspectives, hemodynamic performance and blood damage. Computational fluid dynamics simulations are performed to model the considered LVADs, and computational results are compared to experimental measurements of pressure head to validate the model. Enhanced performance and hemocompatibility are detected for HM3 owing to its design incorporating more conventional blades and larger gap clearances. [ABSTRACT FROM AUTHOR]