PMID- 21843294 OWN - NLM STAT- MEDLINE DCOM- 20111212 LR - 20110816 IS - 1525-1594 (Electronic) IS - 0160-564X (Linking) VI - 35 IP - 8 DP - 2011 Aug TI - Alterations in red blood cell volume and hemoglobin concentration, viscoelastic properties, and mechanical fragility caused by continuous flow pumping in calves. PG - 791-9 LID - 10.1111/j.1525-1594.2011.01317.x [doi] AB - In this study, we have analyzed the changes in mean corpuscular volume (MCV), mean corpuscular hemoglobin concentration (MCHC), and the dynamic deformability and mechanical fragility of red blood cells (RBCs) in five male Holstein calves (body weight: 95.6 +/- 10.8 kg) whose circulation was partially supported with a novel magnetically levitated extracorporeal centrifugal blood pump MedTech Dispo. One hour after the pumping has started, the MCV increased and the MCHC decreased by 1.064 +/- 0.006 and 0.906 +/- 0.050 times, respectively, as compared with those of the prepumped blood (P < 0.05). The deformability index L/W, where L and W are the long and short axes of the two-dimensional RBC images, respectively, sheared by a cyclically reversing shear flow increased indicating that the RBCs pumped for 1 h exhibited more elastic characteristics (P < 0.05). In addition, when the pumped blood cells were sheared for 30 min with a uniform shear stress of 25.38 Pa, the hemolysis level decreased dramatically as compared with the control blood, as more fragile RBCs were destroyed by pumping, leaving behind less fragile RBCs. All these characteristics of the RBCs exposed to continuous flow resemble those of young RBCs having larger MCV, lower MCHC, higher elasticity, and lower fragility. In conclusion, during continuous flow pumping, the RBCs having relatively lower threshold for hemolysis to mechanical shear stress generated by continuous flow blood pump (CFBP) are destroyed first and removed from circulation in the early stage of application of CFBP, thus leaving behind less fragile and stronger RBCs. CI - (c) 2011, Copyright the Authors. Artificial Organs (c) 2011, International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc. FAU - Yokoyama, Naoyuki AU - Yokoyama N AD - Department of Artificial Organs, Tokyo Medical and Dental University Graduate School of Medical and Dental Sciences, Tokyo, Japan. FAU - Sakota, Daisuke AU - Sakota D FAU - Nagaoka, Eiki AU - Nagaoka E FAU - Takatani, Setsuo AU - Takatani S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Artif Organs JT - Artificial organs JID - 7802778 SB - IM MH - Animals MH - Cattle MH - Elasticity MH - *Erythrocyte Deformability MH - *Erythrocyte Indices MH - *Erythrocyte Volume MH - Erythrocytes/*cytology MH - *Extracorporeal Circulation/instrumentation MH - Hematocrit MH - Male MH - Stress, Mechanical EDAT- 2011/08/17 06:00 MHDA- 2011/12/14 06:00 CRDT- 2011/08/17 06:00 PHST- 2011/08/17 06:00 [entrez] PHST- 2011/08/17 06:00 [pubmed] PHST- 2011/12/14 06:00 [medline] AID - 10.1111/j.1525-1594.2011.01317.x [doi] PST - ppublish SO - Artif Organs. 2011 Aug;35(8):791-9. doi: 10.1111/j.1525-1594.2011.01317.x.