Remote control of pulmonary blood flow: a dream comes true.

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Version: Final published version
Serval ID
serval:BIB_72CBC9AA8F30
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Remote control of pulmonary blood flow: a dream comes true.
Journal
Swiss Medical Weekly
Author(s)
Corno A.F., Sekarski N., von Segesser L.K.
ISSN
1424-7860
Publication state
Published
Issued date
2002
Peer-reviewed
Oui
Volume
132
Number
29-30
Pages
423-424
Language
english
Notes
Publication types: Journal Article ; Review - Publication Status: ppublish
Abstract
The indication for pulmonary artery banding is currently limited by several factors. Previous attempts have failed to produce adjustable pulmonary artery banding with reliable external regulation. An implantable, telemetrically controlled, battery-free device (FloWatch) developed by EndoArt SA, a medical company established in Lausanne, Switzerland, for externally adjustable pulmonary artery banding was evaluated on minipigs and proved to be effective for up to 6 months. The first human implant was performed on a girl with complete atrioventricular septal defect with unbalanced ventricles, large patent ductus arteriosus and pulmonary hypertension. At one month of age she underwent closure of the patent ductus arteriosus and FloWatch implantation around the pulmonary artery through conventional left thoracotomy. The surgical procedure was rapid and uneventful. During the entire postoperative period bedside adjustments (narrowing or release of pulmonary artery banding with echocardiographic assessment) were repeatedly required to maintain an adequate pressure gradient. The early clinical results demonstrated the clinical benefits of unlimited external telemetric adjustments. The next step will be a multi-centre clinical trial to confirm the early results and adapt therapeutic strategies to this promising technology.
Keywords
Animals, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation, Disease Models, Animal, Female, Humans, Hypertension, Pulmonary, Infant, Newborn, Pulmonary Artery, Pulmonary Circulation, Robotics, Swine
Pubmed
Web of science
Create date
14/02/2008 15:17
Last modification date
20/08/2019 15:30
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