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Interact Cardiovasc Thorac Surg ; 18(1): 13-6, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24061069

RESUMO

OBJECTIVES: Based on a ferromagnetic silicone cuff for extra-aortic counterpulsation, a new assist device concept was developed. The driving force is generated by an external magnetic field, which leads to contraction of a soft magnetic cuff. The force generation capacity of the device was tested in a silicone aorta model. METHODS: Magnetic elastomers can be constructed through dispersion of micro- or nanoparticles in polymer matrices and were designed to act as soft actuators. Two magnetically active silicone cuffs were produced with a nanomagnet loading of 250 wt% (Cuff 1) and a micromagnet loading of 67 wt% (Cuff 2). The magnetic cuffs were applied on a silicone aorta model and contracted against hydrostatic pressure. RESULTS: A full contraction of Cuff 1 was possible against a maximal hydrostatic pressure of 30 cmH2O (22 mmHg) at a magnetic flux density of 0.4 T (Tesla) and 65 cmH2O (48 mmHg) at a magnetic flux density of 1.2 T. A 50% contraction of Cuff 2 was possible against a maximal hydrostatic pressure of 80 cmH2O (59 mmHg) at a magnet-cuff-distance (MCD) of 0 cm. At MCDs of 1 and 2 cm a 50% contraction was possible against 33 cmH2O (24 mmHg) and 10 cmH2O (7 mmHg), respectively. CONCLUSIONS: Combining the advantages of magnetic elastomers with the principle of extra-aortic counterpulsation in a new assist device concept avoids the need for anticoagulation (no contact with bloodstream). With regard to the magnetic principle of action, no intra- to extracorporeal connection is needed. More experimental work is needed to further increase the force generated by the silicone cuff and to transfer the device concept into an in vivo setting.


Assuntos
Contrapulsação/instrumentação , Insuficiência Cardíaca/terapia , Coração Auxiliar , Magnetismo/instrumentação , Imãs , Elastômeros de Silicone , Aorta/fisiopatologia , Cobalto , Contrapulsação/métodos , Insuficiência Cardíaca/fisiopatologia , Hemodinâmica , Humanos , Pressão Hidrostática , Compostos de Ferro , Magnetismo/métodos , Teste de Materiais , Nanopartículas Metálicas , Modelos Cardiovasculares , Desenho de Prótese
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