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Human fitting of pediatric and infant continuous-flow total artificial heart: visual and virtual assessment.
Miyagi, Chihiro; Ahmad, Munir; Karimov, Jamshid H; Polakowski, Anthony R; Karamlou, Tara; Yaman, Malek; Fukamachi, Kiyotaka; Najm, Hani K.
Afiliación
  • Miyagi C; Department of Biomedical Engineering, Cleveland Clinic Lerner Research Institute, Cleveland, OH, United States.
  • Ahmad M; Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, United States.
  • Karimov JH; Department of Biomedical Engineering, Cleveland Clinic Lerner Research Institute, Cleveland, OH, United States.
  • Polakowski AR; Department of Biomedical Engineering, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, United States.
  • Karamlou T; Department of Biomedical Engineering, Cleveland Clinic Lerner Research Institute, Cleveland, OH, United States.
  • Yaman M; Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, United States.
  • Fukamachi K; Department of Pediatric Cardiology, Cleveland Clinic Children's Hospital, Cleveland, OH, United States.
  • Najm HK; Department of Biomedical Engineering, Cleveland Clinic Lerner Research Institute, Cleveland, OH, United States.
Front Cardiovasc Med ; 10: 1193800, 2023.
Article en En | MEDLINE | ID: mdl-37529709
Background: This study aimed to determine the fit of two small-sized (pediatric and infant) continuous-flow total artificial heart pumps (CFTAHs) in congenital heart surgery patients. Methods: This study was approved by Cleveland Clinic Institutional Review Board. Pediatric cardiac surgery patients (n = 40) were evaluated for anatomical and virtual device fitting (3D-printed models of pediatric [P-CFTAH] and infant [I-CFTAH] models). The virtual sub-study consisted of analysis of preoperative thoracic radiographs and computed tomography (n = 3; 4.2, 5.3, and 10.2 kg) imaging data. Results: P-CFTAH pump fit in 21 out of 40 patients (fit group, 52.5%) but did not fit in 19 patients (non-fit group, 47.5%). I-CFTAH pump fit all of the 33 patients evaluated. There were critical differences due to dimensional variation (p < 0.0001) for the P-CFTAH, such as body weight (BW), height (Ht), and body surface area (BSA). The cutoff values were: BW: 5.71 kg, Ht: 59.0 cm, BSA: 0.31 m2. These cutoff values were additionally confirmed to be optimal by CT imaging. Conclusions: This study demonstrated the range of proper fit for the P-CFTAH and I-CFTAH in congenital heart disease patients. These data suggest the feasibility of both devices for fit in the small-patient population.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Cardiovasc Med Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Cardiovasc Med Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza