Old, new and revised aspects of artificial organs

Area of Science:

• Cardiovascular Surgery
• Biomedical Engineering
• Nephrology

Background:

• Failing left ventricles require advanced support systems.
• Existing artificial heart technologies and dialysis methods have limitations.
• Particle removal is crucial for patients with burns or using oxygenators.

Purpose of the Study:

• To review effective methods for cardiac support, including retrograde perfusion and bypass.
• To discuss advancements in artificial heart technology.
• To explore improvements in dialysis accessibility and practicality.

Main Methods:

• Evaluation of retrograde coronary venous perfusion.
• Analysis of transarterial and transapical left ventricular bypass systems.
• Discussion of plasmapheresis for particle removal and advancements in artificial hearts and dialysis devices.

Main Results:

• Retrograde perfusion of coronary veins is effective.
• Transapical left ventricular bypass with filters has shown success.
• Portable and wearable dialysis devices, including peritoneal dialysis, offer practical solutions.

Conclusions:

• Comprehensive ventricular support is essential.
• Electrohydraulic artificial hearts represent future advancements, while air-driven hearts offer immediate life quality.
• Portable dialysis technologies significantly enhance patient care and accessibility.