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Novel heart valve leaflet designs with stiff polymeric materials and biomimetic kinematics

摘要Despite continuous efforts to improve the robustness of cardiac valve implants,neither bioprosthetic nor mechanical valves fulfill both hemodynamic and durability requirements.This study discussed novel flexible leaflet designs,focusing on poly-meric materials with proven hemocompatibility,such as polyether ether ketone,of much higher stiffness than native tissue,aiming at optimal valve implants.A biomimetic valve with a single-curvature belly-curve(B-C)was used as a reference for new design variants with a double-curvature B-C with varying radii.Soft(13.2 MPa)and stiff(2.4 GPa)leaflet materials and different thicknesses were studied using lean simulations and in vitro experiments under physiologic hemodynamic con-ditions.The performance was assessed using opening pressure(OP)and orifice area(OA).The latter was determined by a newly developed automatized image processing tool.Experimental trends are in agreement with simulations and demonstrated that a buckling-inspired double-curvature leaflet design significantly enhances the trileaflet valve opening behavior,which is particularly advantageous for stiffer leaflet materials.Compared to the reference,the best-performing variant showed an OP improvement of 47%and 44%based on simulations and experiments,respectively.In contrast,the achieved mean pressure differential was directly comparable to state-of-the-art bioprosthetic valves.The OA was slightly reduced for new variants but still in the satisfying range.

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作者 Caroline C.Smid [1] Georgios A.Pappas [1] Nikola Cesarovic [2] Volkmar Falk [3] Paolo Ermanni [1] 学术成果认领
作者单位 Laboratory of Composite Materials and Adaptive Structures,ETH Zürich,Leonhardstrasse 21,8092 Zürich,Switzerland [1] Translational Cardiovascular Technologies,ETH Zürich,Leopold-Ruzicka-Weg 4,8093 Zürich,Switzerland;Department for Cardiothoracic and Vascular Surgery,Deutsches Herzzentrum der Charité,Charité Universit?tsmedizin Berlin,Augustenburger Pl.1,13353 Berlin,Germany [2] Translational Cardiovascular Technologies,ETH Zürich,Leopold-Ruzicka-Weg 4,8093 Zürich,Switzerland;Department for Cardiothoracic and Vascular Surgery,Deutsches Herzzentrum der Charité,Charité Universit?tsmedizin Berlin,Augustenburger Pl.1,13353 Berlin,Germany;German Center for Cardiovascular Research(DZHK),Partner Site Berlin,Augustenburger Pl.1,13353 Berlin,Germany [3]
栏目名称 RESEARCH ARTICLES
DOI 10.1007/s42242-024-00309-y
发布时间 2024-12-23
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