Portable mechanical circulatory support: human experience with the LIFEBRIDGE system

Ann Thorac Surg. 2011 May;91(5):1591-5. doi: 10.1016/j.athoracsur.2010.12.018.

Abstract

Purpose: This study was designed to demonstrate the safety and functional performance of the LIFEBRIDGE B2T system (Medizintechnik GmbH, Ampfing, Germany), a novel portable life support system, during human applications under controlled conditions.

Description: The LIFEBRIDGE system was used as a modular closed-circuit miniaturized cardiopulmonary bypass system for total support of circulation and gas exchange in a series of 8 elective coronary artery bypass grafting procedures using normothermic cardioplegic arrest.

Evaluation: Mean blood flow rates provided by the LIFEBRIDGE system were 4.82±0.47 L/min throughout the procedures (ie, 100% of calculated normal blood flow). Adequate gas exchange and arterial oxygenation were provided at all times. All patients survived the operations with no neurologic sequelae.

Conclusions: The LIFEBRIDGE system provides sufficient circulatory support and gas exchange during cardiac arrest and apnea, which are the maximum stress conditions for a life support system. It is anticipated that the system will be widely used as a circulatory support system in future applications that require portability and rapid delivery of short-term mechanical circulatory support, such as with cardiogenic shock.

Publication types

  • Evaluation Study

MeSH terms

  • Aged
  • Cardiopulmonary Bypass / instrumentation*
  • Cardiopulmonary Bypass / methods
  • Cardiopulmonary Resuscitation / instrumentation
  • Cohort Studies
  • Coronary Artery Bypass / instrumentation*
  • Coronary Artery Bypass / methods
  • Coronary Disease / diagnostic imaging
  • Coronary Disease / surgery*
  • Elective Surgical Procedures / methods
  • Equipment Design
  • Equipment Safety
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Pulmonary Gas Exchange
  • Radiography
  • Sampling Studies
  • Severity of Illness Index
  • Treatment Outcome