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Polymeric heart valves for surgical implantation, catheter-based technologies and heart assist devices.用于手术植入的聚合物心脏瓣膜、基于导管的技术和心脏辅助设备。
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A bio-inspired microstructure induced by slow injection moulding of cylindrical block copolymers.由圆柱形嵌段共聚物缓慢注塑成型诱导的仿生微观结构。
Soft Matter. 2014 Aug 28;10(32):6077-86. doi: 10.1039/c4sm00884g.
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Micro-structuring of polycarbonate-urethane surfaces in order to reduce platelet activation and adhesion.聚碳酸酯-聚氨酯表面的微观结构处理以减少血小板的激活和黏附。
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The effects of transcatheter valve crimping on pericardial leaflets.经导管瓣膜卷曲对心包叶的影响。
Ann Thorac Surg. 2014 Apr;97(4):1260-6. doi: 10.1016/j.athoracsur.2013.11.009. Epub 2014 Jan 18.
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Obstacles in haemocompatibility testing.血液相容性测试中的障碍。
Scientifica (Cairo). 2013;2013:392584. doi: 10.1155/2013/392584. Epub 2013 May 7.
6
Surface modification of polyurethane films by plasma and ultraviolet light to improve haemocompatibility for artificial heart valves.通过等离子体和紫外光对聚氨酯薄膜进行表面改性,以提高人工心脏瓣膜的血液相容性。
Colloids Surf B Biointerfaces. 2014 Jan 1;113:25-32. doi: 10.1016/j.colsurfb.2013.08.039. Epub 2013 Sep 2.
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Comparative efficacy of in vitro and in vivo metabolized aspirin in the DeBakey ventricular assist device.体外和体内代谢的阿司匹林在德巴基心室辅助装置中的比较疗效
J Thromb Thrombolysis. 2014 May;37(4):499-506. doi: 10.1007/s11239-013-0997-6.
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Hemocompatibility of polymeric nanostructured surfaces.高分子纳米结构表面的血液相容性。
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Toward optimization of a novel trileaflet polymeric prosthetic heart valve via device thrombogenicity emulation.通过模拟装置血栓形成来优化新型三叶聚合物人工心脏瓣膜。
ASAIO J. 2013 May-Jun;59(3):275-83. doi: 10.1097/MAT.0b013e31828e4d80.
10
In vitro evaluation of a novel hemodynamically optimized trileaflet polymeric prosthetic heart valve.一种新型血流动力学优化三叶聚合物人工心脏瓣膜的体外评估
J Biomech Eng. 2013 Feb;135(2):021021. doi: 10.1115/1.4023235.

新型热固性聚异丁烯基共聚物在剪切流作用下的物理特性及与血小板的相互作用

Physical Characterization and Platelet Interactions under Shear Flows of a Novel Thermoset Polyisobutylene-based Co-polymer.

作者信息

Sheriff Jawaad, Claiborne Thomas E, Tran Phat L, Kothadia Roshni, George Sheela, Kato Yasushi P, Pinchuk Leonard, Slepian Marvin J, Bluestein Danny

机构信息

Department of Biomedical Engineering, Stony Brook University , Stony Brook, New York 11794-8151, United States.

Department of Biomedical Engineering, University of Arizona , Tucson, Arizona 85721, United States.

出版信息

ACS Appl Mater Interfaces. 2015 Oct 7;7(39):22058-66. doi: 10.1021/acsami.5b07254. Epub 2015 Sep 23.

DOI:10.1021/acsami.5b07254
PMID:26398588
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4608843/
Abstract

Over the years, several polymers have been developed for use in prosthetic heart valves as alternatives to xenografts. However, most of these materials are beset with a variety of issues, including low material strength, biodegradation, high dynamic creep, calcification, and poor hemocompatibility. We studied the mechanical, surface, and flow-mediated thrombogenic response of poly(styrene-coblock-4-vinylbenzocyclobutene)-polyisobutylene-poly(styrene-coblock-4-vinylbenzocylcobutene) (xSIBS), a thermoset version of the thermoplastic elastomeric polyolefin poly(styrene-block-isobutylene-block-styrene) (SIBS), which has been shown to be resistant to in vivo hydrolysis, oxidation, and enzymolysis. Uniaxial tensile testing yielded an ultimate tensile strength of 35 MPa, 24.5 times greater than that of SIBS. Surface analysis yielded a mean contact angle of 82.05° and surface roughness of 144 nm, which was greater than for poly(ε-caprolactone) (PCL) and poly(methyl methacrylate) (PMMA). However, the change in platelet activation state, a predictor of thrombogenicity, was not significantly different from PCL and PMMA after fluid exposure to 1 dyn/cm(2) and 20 dyn/cm(2). In addition, the number of adherent platelets after 10 dyn/cm(2) flow exposure was on the same order of magnitude as PCL and PMMA. The mechanical strength and low thrombogenicity of xSIBS therefore suggest it as a viable polymeric substrate for fabrication of prosthetic heart valves and other cardiovascular devices.

摘要

多年来,人们已研发出几种聚合物用于人工心脏瓣膜,以替代异种移植物。然而,这些材料大多存在各种问题,包括材料强度低、生物降解、高动态蠕变、钙化以及血液相容性差等。我们研究了聚(苯乙烯 - 共嵌段 - 4 - 乙烯基苯并环丁烯)- 聚异丁烯 - 聚(苯乙烯 - 共嵌段 - 4 - 乙烯基苯并环丁烯)(xSIBS)的力学、表面和流动介导的血栓形成反应,它是热塑性弹性体聚烯烃聚(苯乙烯 - 嵌段 - 异丁烯 - 嵌段 - 苯乙烯)(SIBS)的热固性版本,已证明其对体内水解、氧化和酶解具有抗性。单轴拉伸试验得出的极限拉伸强度为35兆帕,比SIBS高24.5倍。表面分析得出平均接触角为82.05°,表面粗糙度为144纳米,大于聚己内酯(PCL)和聚甲基丙烯酸甲酯(PMMA)。然而,在流体暴露于1达因/平方厘米和20达因/平方厘米后,作为血栓形成预测指标的血小板活化状态变化与PCL和PMMA相比无显著差异。此外,在10达因/平方厘米的流动暴露后,黏附血小板的数量与PCL和PMMA处于同一数量级。因此,xSIBS的机械强度和低血栓形成性表明它是制造人工心脏瓣膜和其他心血管装置的可行聚合物基材。