Abstract
Blood trauma has been recognized as one of the key problems associated with assisted circulation. Indeed, the main requirement for improved heart-assist devices is the reduction of blood cell damage. The extremely high shear forces and prolonged contact between blood and foreign surfaces can cause mechanical destruction of erythrocytes (hemolysis), activation of platelets, changes in mechanical properties of erythrocytes1 and thus reduction of oxygen delivery. Even low level of hemolysis, in turn, drastically increases RBC aggregation at low shear conditions2. Additionally, plasma free hemoglobin can have a toxic effect on the cardiovascular system, probably because of hemoglobin vasoactivity, mediated by its property to bind nitric oxide (NO), an endothelium-derived relaxing factor3. Alternatively, NO might be destroyed by O2 radicals formed in the presence of hemoglobin3.
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Kameneva, M.V. et al. (1997). Effect of Perfluorochemical Emulsion on Hemorheology and Shear Induced Blood Trauma. In: Nemoto, E.M., et al. Oxygen Transport to Tissue XVIII. Advances in Experimental Medicine and Biology, vol 411. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5865-1_49
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DOI: https://doi.org/10.1007/978-1-4615-5865-1_49
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