Related Experiment Video
Updated: Jun 12, 2026

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
Non-pulsatile circulation with axial-flow left ventricular assist device preserves neurocognitive function
Helena Argiriadou1, Kalliopi Megari, Polychronis Antonitsis
1Department of Anesthesia and Intensive Care, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece.
New axial-flow pumps may affect brain function. This study found no neurocognitive decline in a patient with a Jarvik 2000 left ventricular assist device over six months.
Area of Science:
- Cardiology
- Neurology
- Medical Devices
Background:
- Newer axial-flow left ventricular assist devices (LVADs) create non-pulsatile blood flow.
- Concerns exist regarding the impact of non-pulsatile flow on neurocognitive function.
Observation:
- A patient implanted with a Jarvik 2000 continuous-flow LVAD was evaluated.
- Neurocognitive function was assessed preoperatively and at 1 and 6 months post-implantation.
Findings:
- A comprehensive neuropsychological test battery was utilized.
- A slight improvement was observed in specific neurocognitive domains.
- No neurocognitive decline was evident at the 6-month follow-up.
Implications:
- The Jarvik 2000 LVAD may not negatively impact neurocognitive function.
- Further research is warranted to confirm these findings in a larger patient cohort.
- This study contributes to understanding the neurological safety of continuous-flow LVADs.
Related Concept Videos
Imbalances in Cardiac Output
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...
Cardiac Output and Stroke Volume
In an average resting adult male, the typical cardiac output averages...
Regulation of Stroke Volume
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Cardiomyopathy V: Interprofessional Care
Cardiac Output II: Effect of Stroke Volume on Cardiac Output
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
Cardiomyopathy II: Dilated Cardiomyopathy
