Development of a Double-Lumen Cannula for a Percutaneous RVAD. Issue 4 (July 2015)

• Record Type: Journal Article
• Authors: Wang, Dongfang; Jones, Cameron; Ballard-Croft, Cherry; Zhao, Ju; Zhao, Guangfeng; Topaz, Stephen; Zwischenberger, Joseph B.
• Is Part Of: ASAIO journal. Volume 61:Issue 4(2015)
• Publication Date: 2015-07
• Subjects: right ventricular assist device -- double-lumen cannula -- percutaneous -- sheep; Artificial organs -- Periodicals; 617
• DOI: 10.1097/MAT.0000000000000227
• Languages: English
• ISSNs: 1058-2916

Abstract

Abstract : The objectives were to design/fabricate a double-lumen cannula (DLC) for a percutaneous right ventricular assist device (pRVAD) and to test the feasibility/performance of this pRVAD system. A 27 Fr DLC prototype was made and tested in six adult sheep. The pRVAD DLC was inserted into the right jugular vein; advanced through the superior vena cava, the right atrium (RA), the right ventricle (RV); ending in the pulmonary artery (PA). A CentriMag pump and optional gas exchanger were connected to the DLC. Blood was withdrawn from RA, pumped through gas exchanger, and perfused PA. Maximal pumping flow was maintained for 2 hours. The pRVAD DLC was successfully deployed in all six sheep. In first three sheep, maximal average pumping flow was less than 3 L/min because the DLC was advanced too far with drainage opening against RA side wall. In last three sheep with well-positioned DLC, average maximal flow was more than 3.5 L/min. The gas exchanger provided up to 230 ml/min CO2 removal and 174 ml/min O2 transfer. Our DLC-based pRVAD system is feasible for percutaneous right heart and respiratory assistance through a single cannulation. The pRVAD DLC can be easily placed prophylactically during left ventricular assist device implantation and removed as needed without additional open chest procedures.