Effects of Self Washout Structure on the Antithrombogenicity and the Hemolytic Properties of a Centrifugal Pump

: Antithrombogenicity in an initial type (Nl) of a centrifugal pump (CP) developed in our institute is provided by the central balancing hole of an impeller. A new CP (N2) was modified to obtain better antithrombogenicity, in which the balancing hole was widened to improve self washout flow velocity (Vsf), and an edge of the thrust bearing was rounded off to minimize flow separation. Effects of the modifications were assessed in vitro and in vivo studies. The Vsf of the Nl and the N2 evaluated by a Doppler velocimeter were 12.8 and 22.1 cm/s, respectively. Flow around the thrust bearing, which was visualized by a light cutting method, confirmed less flow stagnation in the N2. The hemolytic indices of the Nl and the N2 were 0.023 and 0.008 mg/dl, respectively. In vivo antithrombogenicity and the hemolytic properties of the N2 and the Nl were investigated without anticoagulation therapy in 3 goats. In each goat the N2 was driven for 1 week and exchanged for the Nl, which was driven for the same period. Red thrombi at the thrust bearing were found in 2 Nls, and 2 small thrombi were on the impeller of another Nl, whereas a thrombus of less than 1 mm3 at the TB was noted in 1 N2. Plasma free hemoglobin was not increased in either CP. These results indicate that the N2 has better antithrombogenicity and hemolytic properties than the Nl.