1998
DOI: 10.1046/j.1525-1594.1998.06140.x
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Washout Hole Flow Measurement for the Development of a Centrifugal Blood Pump

Abstract: To evaluate the clinical meaning and effects of afterload-dependent flow fluctuation in a centrifugal pump, concomitant measurement of flow rate and mixed venous oxygen saturation (SVO2) was performed in 5 cases of open heart surgery in which the patients underwent cardiopulmonary bypass (CPB) with the Terumo Capiox centrifugal pump. Continuous measurement of SVO2 using the 3M CDI System 100 was performed with a disposable cuvette incorporated into the drainage circuit. After the target flow rate of 2.4 L/min/… Show more

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Cited by 14 publications
(8 citation statements)
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“…[30-33] Furthermore, centrifugal pumps are afterload sensitive, making precise control of blood flow rate challenging in the pediatric population. [34] Conventional roller pumps can produce pulsatile flow but are rarely able to generate a physiologic waveform. [35] Significant variation in hemodynamic energy created by various pulsatile roller pumps has been demonstrated.…”
Section: Discussionmentioning
confidence: 99%
“…[30-33] Furthermore, centrifugal pumps are afterload sensitive, making precise control of blood flow rate challenging in the pediatric population. [34] Conventional roller pumps can produce pulsatile flow but are rarely able to generate a physiologic waveform. [35] Significant variation in hemodynamic energy created by various pulsatile roller pumps has been demonstrated.…”
Section: Discussionmentioning
confidence: 99%
“…Another alternative is to place washout holes in strategic positions in the rotor. These holes lower the resistance to the flow in the gap allowing more flow for the same pressure head . The flow through the holes, however, is difficult to keep smooth, and additional shear and flow separation may occur .…”
mentioning
confidence: 99%
“…As the devices become smaller in size, mechanical trauma to blood cell elements as well as thrombus formation secondary to flow stagnation inside the narrow clearance between the pump housing and impeller is expected to increase. To compensate for the problem of flow stagnation, wash‐out holes have been incorporated in the impeller to create a secondary flow inside the pump (14–17). Although adverse effects of the secondary flow have been reported, we believe that a proper amount of secondary flow will be effective in minimizing flow stagnation behind the impeller as well as mechanical trauma to red blood cells.…”
mentioning
confidence: 99%