Fursov B A, Zaĭtsev V V, Bykova V A, Mishchenko B P, Gorshkov Iu V, Svanidze O G, Evdokimov S V, Rusanov N I, Tsukerman G I
Grud Serdechnososudistaia Khir. 1991 Oct(10):11-6.
The main cause of cardiac valve bioprosthesis dysfunction is mechanical rupture of the cusps consequent upon the development of "fatigue" tensions and calcification of the biologic tissue. The technology of "Bionix" prostheses manufacturing implies prevention of these complications by means of supporting frameworks of variable rigidity (dumping stroke loads) and the use of a calcinosis inhibitor in the process of chemical stabilization. Experimental research confirms the certain effectiveness of such an approach to solving the problem of bioprosthesis durability. Experience in clinical application of biological valves of this series showed that by the 5th postoperative year the stability of good results was 90.0 +/- 2.2%; absence of thromboembolic complications in 93.3 +/- 2.4%, and no need to operate because of dysfunction of the bioprosthesis in 96.6 +/- 2.1%.
心脏瓣膜生物假体功能障碍的主要原因是,生物组织出现“疲劳”张力并发生钙化,导致瓣叶机械性破裂。“Bionix”假体制造技术意味着通过可变刚度的支撑框架(缓冲冲程负荷)以及在化学稳定过程中使用钙化抑制剂来预防这些并发症。实验研究证实了这种解决生物假体耐久性问题的方法具有一定有效性。该系列生物瓣膜的临床应用经验表明,术后第5年,良好结果的稳定性为90.0±2.2%;93.3±2.4%的患者无血栓栓塞并发症,96.6±2.1%的患者无需因生物假体功能障碍而进行手术。