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一种用于机械循环支持系统的新型聚合物瓣膜。

A new polymer valve for mechanical circulatory support systems.

作者信息

Suh S W, Kim W G, Kim H C, Min B G

机构信息

Department of Biomedical Engineering, Seoul National University, Korea.

出版信息

Int J Artif Organs. 1996 Dec;19(12):712-8.

PMID:9029247
Abstract

A new low-cost artificial heart valve with easily modified dimensions according to its application was developed using segmented polyurethane (SPU). It consists of a convex frame and a concave membrane which floats in the center of the frame while working. The hydrodynamic performance of the polymer valve was compared with that of the Björk-Shiley mechanical valve using a mock circulatory testing system. The hydrodynamic performance of this valve was superior to the Björk-Shiley mechanical valve. The valve was applied to a ventricular assist device (VAD) developed in our institute. In vivo performances of these systems were tested using mongrel dogs. During the experiments, there were no complications related to malfunction of the valve. At postmortem examinations, no thrombus formation was found on the valve surface, and no embolus was detected in the kidneys. We believe this valve could prove a very useful alternative for valves of mechanical circulatory support systems (MCSS) such as VAD and TAH.

摘要

采用分段聚氨酯(SPU)研发出一种新型低成本人工心脏瓣膜,其尺寸可根据应用情况轻松修改。它由一个凸形框架和一个凹形膜组成,工作时该凹形膜漂浮在框架中心。使用模拟循环测试系统,将这种聚合物瓣膜的流体动力学性能与 Björk-Shiley 机械瓣膜的性能进行了比较。该瓣膜的流体动力学性能优于 Björk-Shiley 机械瓣膜。该瓣膜被应用于我们研究所研发的心室辅助装置(VAD)。使用杂种犬对这些系统的体内性能进行了测试。实验过程中,未出现与瓣膜故障相关的并发症。在尸检时,未在瓣膜表面发现血栓形成,且在肾脏中未检测到栓子。我们相信,对于诸如 VAD 和 TAH 等机械循环支持系统(MCSS)的瓣膜而言,这种瓣膜可能会被证明是一种非常有用的替代品。

相似文献

1
A new polymer valve for mechanical circulatory support systems.一种用于机械循环支持系统的新型聚合物瓣膜。
Int J Artif Organs. 1996 Dec;19(12):712-8.
2
Hemolytic differences among artificial cardiac valves used in a ventricular assist pump.心室辅助泵中使用的人工心脏瓣膜之间的溶血差异。
Artif Organs. 1995 Apr;19(4):339-43. doi: 10.1111/j.1525-1594.1995.tb02338.x.
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In vitro and in vivo evaluation of a jellyfish valve for practical use.用于实际应用的水母瓣膜的体外和体内评估。
ASAIO Trans. 1989 Jul-Sep;35(3):298-301. doi: 10.1097/00002480-198907000-00039.
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A newly designed jellyfish valve for an artificial heart blood pump.
ASAIO Trans. 1988 Jul-Sep;34(3):726-8.
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A new design for polyurethane heart valves.一种用于聚氨酯心脏瓣膜的新设计。
J Heart Valve Dis. 2001 Jan;10(1):105-10.
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New polyurethane heart valve prosthesis: design, manufacture and evaluation.新型聚氨酯心脏瓣膜假体:设计、制造与评估。
Biomaterials. 1996 Oct;17(19):1857-63. doi: 10.1016/0142-9612(95)00242-1.
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Prosthetic valve selection for a pulsatile LVAD.用于搏动性左心室辅助装置的人工瓣膜选择
J Clin Eng. 1991 Nov-Dec;16(6):515-9. doi: 10.1097/00004669-199111000-00014.
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Mechanical failure of the Björk-Shiley valve. Incidence, clinical presentation, and management.比约克-希利瓣膜的机械故障。发生率、临床表现及处理
J Thorac Cardiovasc Surg. 1986 Nov;92(5):894-907.
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Clinical performance of Bjork-Shiley mechanical heart valves: a perspective on outlet strut fractures in the 60 degrees and 70 degrees convexo-concave disc models.比约克-希利机械心脏瓣膜的临床性能:关于60度和70度凸凹盘模型中出口支柱骨折的观点
Can J Cardiol. 1988 Oct;4(7):386-92.
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Influence of the compliance of the pump housing and cannulas of a paracorporeal pneumatic ventricular assist device on transient pressure characteristics.体外气动心室辅助装置的泵壳和插管的顺应性对瞬态压力特性的影响。
Artif Organs. 1995 Jun;19(6):525-34. doi: 10.1111/j.1525-1594.1995.tb02373.x.

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