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Kontinuierlich fördernde Blutpumpen für die Langzeitherzunterstützung

Vergleich zwischen Axial- und Radialpumpen

Continuous-flow blood pumps for long-term ventricular support

Comparison between axial and centrifugal pumps

  • Kardiotechnik/EKZ
  • Published:
Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Für die Langzeitherzunterstützung werden derzeit 4 Axial- und 4 Radialpumpen kommerziell vertrieben. In dieser Arbeit werden diese Pumpen vorgestellt und in ihrer Leistung miteinander verglichen. Während sich die Leistungsdaten der Radialpumpen stark ähneln, zeigen die Kennlinien für den Druck in Abhängigkeit vom Volumenstrom bei den Axialpumpen charakteristische Unterschiede auf. Insgesamt erzeugen die Radialpumpen bei vergleichbarem Volumenstrom einen höheren Blutdruck. Der wesentliche Vorteil der Axialpumpen liegt in ihrer kleineren Baugröße. Untersuchungen zu Hämolyse und zum Auftreten des Von-Willebrand-Syndroms zeigen Vorteile für die Radialpumpen.

Abstract

For long-term ventricular support four axial pumps and four centrifugal pumps are currently commercially available. This article presents these pumps and their performances are compared. The pressure-volume flow characteristics of all centrifugal pumps show a great similarity, whereas the pressure curves of the axial pumps show characteristic differences depending on the volume flow of each pump. Altogether centrifugal pumps can produce a higher blood pressure than axial pumps at a similar volume flow. The main advantage of the axial pumps is their smaller design size. Comparative studies have shown that centrifugal pumps cause less hemolysis and occurrence of von Willebrand’s disease than axial pumps.

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Danksagung

Die Autorin möchte der Carl von Ossietzky Universität in Oldenburg, besonders Herrn Andreas Hein, sowie dem Deutschen Herzzentrum Berlin danken.

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  1. Department für Versorgungsforschung, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstr. 114–118, 26129, Oldenburg, Deutschland

    Inge Köhne

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  1. Inge Köhne
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Correspondence to Inge Köhne.

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Für diesen Beitrag wurden von der Autorin keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Köhne, I. Kontinuierlich fördernde Blutpumpen für die Langzeitherzunterstützung. Z Herz- Thorax- Gefäßchir 34, 359–370 (2020). https://doi.org/10.1007/s00398-020-00398-8

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  • DOI: https://doi.org/10.1007/s00398-020-00398-8

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