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  4. Hemodynamic effects of a dielectric elastomer augmented aorta on aortic wave intensity: An in-vivo study
 
research article

Hemodynamic effects of a dielectric elastomer augmented aorta on aortic wave intensity: An in-vivo study

Jahren, Silje Ekroll
•
Martinez, Thomas Guillaume  
•
Walter, Armando Matthieu  
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August 25, 2023
Journal Of Biomechanics

Dielectric elastomer actuator augmented aorta (DEA) represents a novel approach with high potential for assisting a failing heart. The soft tubular device replaces a section of the aorta and increases its diameter when activated. The hemodynamic interaction between the DEA and the left ventricle (LV) has not been investigated with wave intensity (WI) analysis before. The objective of this study is to investigate the hemodynamic effects of the DEA on the aortic WI pattern. WI was calculated from aortic pressure and flow measured in-vivo in the descending aorta of two pigs implanted with DEAs. The DEAs were tested for different actuation phase shifts (PS). The DEA generated two decompression waves (traveling upstream and downstream of the device) at activation followed by two compression waves at deactivation. Depending on the PS, the end-diastolic pressure (EDP) decreased by 7% (or increased by 5–6%). The average early diastolic pressure augmentation (Pdia) increased by 2% (or decreased by 2–3%). The hydraulic work (WH) measured in the aorta decreased by 2% (or increased by 5%). The DEA-generated waves interfered with the LV-generated waves, and the timing of the waves affected the hemodynamic effect of the device. For the best actuation timing the upstream decompression wave arrived just before aortic valve opening and the upstream compression wave arrived just before aortic valve closure leading to a decreased EDP, an increased Pdia and a reduced WH.

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Type
research article
DOI
10.1016/j.jbiomech.2023.111777
Author(s)
Jahren, Silje Ekroll
Martinez, Thomas Guillaume  
Walter, Armando Matthieu  
Ferrari, Lorenzo
Clavica, Francesco
Obrist, Dominik
Civet, Yoan René Cyrille  
Perriard, Yves  
Date Issued

2023-08-25

Published in
Journal Of Biomechanics
Volume

159

Subjects

Wave intensity analysis

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Aortic counterpulsation

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Cardiac assist device

•

Arterial hemodynamics

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LAI  
CAM  
Available on Infoscience
September 7, 2023
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/200391
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