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Utility Of A Volume-Regulated Drive System For Direct Mechanical Ventricular Actuation, Benjamin A. Schmitt

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Direct Mechanical Ventricular Actuation (DMVA) is a non-blood contacting cardiac assist device that augments ventricular function. The purpose of this study was to determine if a volume-regulated "hand pump" drive system and a pressure-regulated "switch tank" drive system provide equivalent levels of cardiac support. Canine (n=2) and swine (n=4) were instrumented for hemodynamic monitoring and intravascular echocardiography. DMVA support was assessed during both severe heart failure and fibrillation. Pump function was evaluated using hemodynamic measures to calculate stroke work. Myocardial function was assessed using echocardiographic speckle tracking to quantify strain rate. Results were compared between groups using paired t-tests. There …