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Actively controlled cardiac afterload

Pigot, Harry LU orcid ; Wahlquist, Ylva LU and Soltesz, Kristian LU orcid (2023) 22nd IFAC World Congress In IFAC Proceedings Volumes (IFAC-PapersOnline) 56(2). p.6484-6489
Abstract
Ex vivo (outside of the body) working heart models enable the evaluation of isolated hearts. They are envisioned to play an important role in increasing the currently low utilization rate of donor hearts for transplantation. For the heart to work in isolation, an afterload (flow impedance) is needed. To date, afterload devices have been constructed by combining multiple constituent elements such as pumps, flow resistances, and flow capacitances (compliances), typically to replicate the structure of so-called Windkessel models. This limits active control to that achievable by varying these elements, making it slow and subject to the problem of dynamic coupling between parameters. Here we present a novel concept to achieve Windkessel... (More)
Ex vivo (outside of the body) working heart models enable the evaluation of isolated hearts. They are envisioned to play an important role in increasing the currently low utilization rate of donor hearts for transplantation. For the heart to work in isolation, an afterload (flow impedance) is needed. To date, afterload devices have been constructed by combining multiple constituent elements such as pumps, flow resistances, and flow capacitances (compliances), typically to replicate the structure of so-called Windkessel models. This limits active control to that achievable by varying these elements, making it slow and subject to the problem of dynamic coupling between parameters. Here we present a novel concept to achieve Windkessel dynamics through a very simple variable flow impedance. The impedance is actively controlled using feedback from a pressure measurement. Through simulations we demonstrate the ability to perfectly emulate Windkessel dynamics, while imposing tight pressure limits needed for safe operation—something not achievable with the verbatim implementation using constituent elements. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
artificial organ, physiological modelling, control of physiological and clinical variables
in
IFAC Proceedings Volumes (IFAC-PapersOnline)
volume
56
issue
2
pages
6484 - 6489
publisher
IFAC Secretariat
conference name
22nd IFAC World Congress
conference location
Yokohama, Japan
conference dates
2023-07-09 - 2023-07-14
external identifiers
  • scopus:85183667193
ISSN
2405-8963
DOI
10.1016/j.ifacol.2023.10.863
project
Functional ex vivo heart evaluation
Hemodynamic Stabilization
language
English
LU publication?
yes
id
1af5e4f8-5aeb-47cc-be55-97ab4a793ecd
date added to LUP
2023-03-04 14:31:45
date last changed
2024-04-29 03:47:40
@article{1af5e4f8-5aeb-47cc-be55-97ab4a793ecd,
  abstract     = {{<i>Ex vivo</i> (outside of the body) working heart models enable the evaluation of isolated hearts. They are envisioned to play an important role in increasing the currently low utilization rate of donor hearts for transplantation. For the heart to work in isolation, an afterload (flow impedance) is needed. To date, afterload devices have been constructed by combining multiple constituent elements such as pumps, flow resistances, and flow capacitances (compliances), typically to replicate the structure of so-called Windkessel models. This limits active control to that achievable by varying these elements, making it slow and subject to the problem of dynamic coupling between parameters. Here we present a novel concept to achieve Windkessel dynamics through a very simple variable flow impedance. The impedance is actively controlled using feedback from a pressure measurement. Through simulations we demonstrate the ability to perfectly emulate Windkessel dynamics, while imposing tight pressure limits needed for safe operation—something not achievable with the verbatim implementation using constituent elements.}},
  author       = {{Pigot, Harry and Wahlquist, Ylva and Soltesz, Kristian}},
  issn         = {{2405-8963}},
  keywords     = {{artificial organ; physiological modelling; control of physiological and clinical variables}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{6484--6489}},
  publisher    = {{IFAC Secretariat}},
  series       = {{IFAC Proceedings Volumes (IFAC-PapersOnline)}},
  title        = {{Actively controlled cardiac afterload}},
  url          = {{https://lup.lub.lu.se/search/files/147414618/230323_ifac23_final_submission.pdf}},
  doi          = {{10.1016/j.ifacol.2023.10.863}},
  volume       = {{56}},
  year         = {{2023}},
}