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A computationally guided study of a blood heat exchanger and the construction of an extracorporeal circulation system for selective brain cooling

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机构: [1]Beijing Institute for Brain Disorders, Capital Medical University, Beijing 100069, China [2]Department of Neurology and Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [3]School of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing 100191, China [4]China-America Institute of Neuroscience and Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [5]Department of Biomedical Engineering, Columbia University, New York, NY 10032, USA [6]Department of Biomedical Engineering, Graeme Clark Institute, University of Melbourne, Parkville, VIC 3010, Australia [7]School of Materials Science and Engineering, Peking University, Beijing 100083, China
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Achieving long-lasting hypothermia neuroprotection against reperfusion injury in patients with acute ischemic stroke (AIS) by using intra-arterial selective cooling infusion with autologous blood (IASCAI) is promising. However, due to the lack of a specialized medical circulatory perfusion system matching cerebral blood flow characteristics, we conduct a translational study of an extracorporeal circulation system for continuous and controllable brain cooling using an optimized blood heat exchanger (BHE). In contrast to commercial BHEs, optimized BHEs are prone to reducing thrombogenic risk potential under a low infusion rate (10-50 mL/min) in IA-SCAI. The designed BHE provided effective cerebral cooling ('2 degrees C) ' 2 degrees C) for 22 min during a 30-min cooling period in a swine model. These results suggest that the selective brain cooling induced by cold autologous blood perfusion was safe, which could promote the clinical application of an autologous extracorporeal circulation system for AIS therapy.

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出版当年[2023]版:
大类 | 2 区 综合性期刊
小类 | 2 区 化学:综合 2 区 材料科学:综合 2 区 物理:综合 3 区 能源与燃料
最新[2025]版:
大类 | 2 区 综合性期刊
小类 | 2 区 综合性期刊
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出版当年[2022]版:
Q1 CHEMISTRY, MULTIDISCIPLINARY Q1 ENERGY & FUELS Q1 MATERIALS SCIENCE, MULTIDISCIPLINARY Q1 PHYSICS, MULTIDISCIPLINARY
最新[2023]版:
Q1 CHEMISTRY, MULTIDISCIPLINARY Q1 ENERGY & FUELS Q1 MATERIALS SCIENCE, MULTIDISCIPLINARY Q1 PHYSICS, MULTIDISCIPLINARY

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Beijing Institute for Brain Disorders, Capital Medical University, Beijing 100069, China
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通讯机构: [1]Beijing Institute for Brain Disorders, Capital Medical University, Beijing 100069, China [2]Department of Neurology and Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [3]School of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing 100191, China [4]China-America Institute of Neuroscience and Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
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