Evidence map›Paper›PMID 36925677›Full record

ArticleBioengineering & translational medicine2023

A novel soft cardiac assist device based on a dielectric elastomer augmented aorta: An in vivo study.

Thomas Martinez, Silje Ekroll Jahren, Armando Walter, Jonathan Chavanne, Francesco Clavica, Lorenzo Ferrari, Paul Philipp Heinisch, Daniela Casoni, Andreas Haeberlin, Markus M Luedi and 4 more

Open access · goldFull text read
In one paragraph

Article in Bioengineering & translational medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 22 citations in OpenAlex.

  1. Soft robotic devices for cardiovascular medicine.Nature reviews. Cardiology · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Novel para-aortic cardiac assistance using a pre-stretched dielectric elastomer actuator.Interdisciplinary cardiovascular and thoracic surgery · 2024
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

Thomas MartinezIntegrated Actuators Laboratory (LAI), École polytechnique fédérale de Lausanne (EPFL) Neuchâtel Switzerland.ORCID https://orcid.org/0000-0001-6366-1488
Silje Ekroll JahrenIntegrated Actuators Laboratory (LAI), École polytechnique fédérale de Lausanne (EPFL) Neuchâtel Switzerland.
Armando WalterIntegrated Actuators Laboratory (LAI), École polytechnique fédérale de Lausanne (EPFL) Neuchâtel Switzerland.ORCID https://orcid.org/0000-0002-9812-8525
Jonathan ChavanneIntegrated Actuators Laboratory (LAI), École polytechnique fédérale de Lausanne (EPFL) Neuchâtel Switzerland.
Francesco ClavicaIntegrated Actuators Laboratory (LAI), École polytechnique fédérale de Lausanne (EPFL) Neuchâtel Switzerland.
Lorenzo FerrariIntegrated Actuators Laboratory (LAI), École polytechnique fédérale de Lausanne (EPFL) Neuchâtel Switzerland.
Paul Philipp HeinischDepartment of Congenital and Pediatric Heart Surgery, German Heart Center Munich Technical University of Munich Munich Germany.
Daniela CasoniExperimental Surgery Facility University of Bern Bern Switzerland.
Andreas HaeberlinDepartment of Cardiology, Bern University Hospital Inselspital University of Bern Bern Switzerland.
Markus M LuediDepartment of Anaesthesiology, Bern University Hospital Inselspital University of Bern Bern Switzerland.
Dominik ObristARTORG Center for Biomedical Engineering Research University of Bern Bern Switzerland.
Thierry CarrelDepartment of Cardiac Surgery University of Zurich Zurich Switzerland.
Yoan CivetIntegrated Actuators Laboratory (LAI), École polytechnique fédérale de Lausanne (EPFL) Neuchâtel Switzerland.
Yves PerriardIntegrated Actuators Laboratory (LAI), École polytechnique fédérale de Lausanne (EPFL) Neuchâtel Switzerland.
University of Bern · CHÉcole Polytechnique Fédérale de Lausanne · CHDeutsches Herzzentrum München · DEUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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. In this study, the proposed DEA-based device replaces a section of the aorta and acts as a counterpulsation device. The feasibility and validation of in vivo implantation of the device into the descending aorta in a porcine model, and the level of support provided to the heart are investigated. Additionally, the influence of the activation profile and delay compared to the start of systole is studied. We demonstrate that an activation of the DEA just before the start of systole (30 ms at 100 bpm) and deactivation just after the start of diastole (0-30 ms) leads to an optimal assistance of the heart with a maximum energy provided by the DEA. The end-diastolic and left ventricular pressures were lowered by up to 5% and 1%, respectively, compared to baseline. The early diastolic pressure was augmented in average by up to 2%.

Indexed as

cardiac assist devicecounterpulsationdielectric elastomer actuatorin vivo experiment

Identifiers

PMID36925677
PMCPMC10013878
OpenAlexW4291169806

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read164
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.