Notable achievements in cardiovascular research and devices that are currently under investigation and expected in the near future are listed below:
- 1.
New pediatric devices, such as the axial-flow pumps and small-diameter valve prostheses, have been introduced, and some are under construction. As the devices become more and more reliable, mechanical circulatory support will play an increasingly important role, not only for rescue therapy but also for safe treatment of the most complex congenital heart diseases, not only with the aim of bridging to cardiac recovery or transplantation but, eventually, as a permanent solution.
- 2.
The effective miniature blood pumps have been commonly used in minimally invasive cardiology. Transported to the destination place through the arteries, the smart pump mainly for short-term heart support can play an important role in an emergency.
- 3.
New types of devices create possibilities of pump and blood oxygenation introduction into clinical practice. The idea is not new, but thanks to new materials (durable, semiconductive silicon membranes) that are being rapidly developed.
- 4.
New “biomechanical” valves and vessels completely synthetic/artificial, but flexible and durable, will be introduced. The development of small-caliber vascular grafts is very important for bypass and graft surgery.
- 5.
A significant improvement in technical support for preplanning and control surgical interventions, including telemedicine technology, will be observed.
- 6.
Bioartificial myocardial grafts will be introduced in which perfusion by a macroscopic core vessel will be applicable.
- 7.
Improved cell-culture techniques may render human aortic myofibroblasts a native tissue-like structure.
- 8.
Tissue-engineered bioprosthethic valves will be commonly used in clinics.