Publications by authors named "Armando Walter"

Article Synopsis
  • Fontan failure is a condition where the Fontan circulation (a surgical fix for certain heart defects) becomes inadequate, prompting the need for alternative treatments.
  • This study evaluates a bladeless cavopulmonary assist device that uses dielectric elastomer actuators (DEAs) in a controlled experimental setup to assess its performance.
  • Results show the device can achieve significant flow rates and pressure control, indicating its potential as an effective solution for improving heart function in patients with Fontan failure.
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Objectives: We propose an evolution of a dielectric elastomer actuator-based cardiac assist device that acts as a counterpulsation system. We introduce a new pre-stretched actuator and implant the device in a graft bypass between the ascending and descending aorta to redirect all blood through the device (ascending aorta clamped). The objective was to evaluate the influence of these changes on the assistance provided to the heart.

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Impedance pumps are simple designs that allow the generation or amplification of flow. They are fluid-filled systems based on flexible tubing connected to tubing with different impedances. A periodic off-center compression of the flexible tubing causes the fluid to move and generate flow.

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Dielectric elastomer actuator augmented aorta (DEA) represents a novel approach with high potential for assisting a failing heart. The soft tubular device replaces a section of the aorta and increases its diameter when activated. The hemodynamic interaction between the DEA and the left ventricle (LV) has not been investigated with wave intensity (WI) analysis before.

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Although heart transplant is the preferred solution for patients suffering from heart failures, cardiac assist devices remain key substitute therapies. Among them, aortic augmentation using dielectric elastomer actuators (DEAs) might be an alternative technological application for the future. The electrically driven actuator does not require bulky pneumatic elements (such as conventional intra-aortic balloon pumps) and conforms tightly to the aorta thanks to the manufacturing method presented here.

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