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Wang Y, Fu Y, Wang Q, Kong D, Wang Z, Liu J. Recent advancements in polymeric heart valves: From basic research to clinical trials. Mater Today Bio 2024; 28:101194. [PMID: 39221196 PMCID: PMC11364905 DOI: 10.1016/j.mtbio.2024.101194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2024] [Revised: 08/06/2024] [Accepted: 08/08/2024] [Indexed: 09/04/2024] Open
Abstract
Valvular heart diseases (VHDs) have become one of the most prevalent heart diseases worldwide, and prosthetic valve replacement is one of the effective treatments. With the fast development of minimal invasive technology, transcatheter valves replacement has been exploring in recent years, such as transcatheter aortic valve replacement (TAVR) technology. In addition, basic research on prosthetic valves has begun to shift from traditional mechanical valves and biological valves to the development of polymeric heart valves. The polymeric heart valves (PHVs) have shown a bright future due to their advantages of longer durability, better biocompatibility and reduced cost. This review gives a brief history of the development of polymeric heart valves, provides a summary of the types of polymer materials suitable for heart leaflets and the emerging processing/preparation methods for polymeric heart valves in the basic research. Besides, we facilitate a deeper understanding of polymeric heart valve products that are currently in preclinical/clinical studies, also summary the limitations of the present researches as well as the future development trends. Hence, this review will provide a holistic understanding for researchers working in the field of prosthetic valves, and will offer ideas for the design and research of valves with better durability and biocompatibility.
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Affiliation(s)
- Yuanchi Wang
- Tianjin Key Laboratory of Biomaterial Research, Institute of Biomedical Engineering, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300192, China
| | - Yulong Fu
- Tianjin Key Laboratory of Biomaterial Research, Institute of Biomedical Engineering, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300192, China
| | - Qingyu Wang
- Tianjin Key Laboratory of Biomaterial Research, Institute of Biomedical Engineering, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300192, China
| | - Deling Kong
- Key Laboratory of Bioactive Materials of Ministry of Education, State Key Laboratory of Medicinal Chemical Biology, College of Life Science, Nankai University, Tianjin 300071, China
| | - Zhihong Wang
- Institute of Transplant Medicine, Nankai University School of Medicine, Tianjin 300071, China
| | - Jing Liu
- Tianjin Key Laboratory of Biomaterial Research, Institute of Biomedical Engineering, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300192, China
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2
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Dallaev R. Advances in Materials with Self-Healing Properties: A Brief Review. MATERIALS (BASEL, SWITZERLAND) 2024; 17:2464. [PMID: 38793530 PMCID: PMC11123491 DOI: 10.3390/ma17102464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2024] [Revised: 05/17/2024] [Accepted: 05/18/2024] [Indexed: 05/26/2024]
Abstract
The development of materials with self-healing capabilities has garnered considerable attention due to their potential to enhance the durability and longevity of various engineering and structural applications. In this review, we provide an overview of recent advances in materials with self-healing properties, encompassing polymers, ceramics, metals, and composites. We outline future research directions and potential applications of self-healing materials (SHMs) in diverse fields. This review aims to provide insights into the current state-of-the-art in SHM research and guide future efforts towards the development of innovative and sustainable materials with enhanced self-repair capabilities. Each material type showcases unique self-repair mechanisms tailored to address specific challenges. Furthermore, this review investigates crack healing processes, shedding light on the latest developments in this critical aspect of self-healing materials. Through an extensive exploration of these topics, this review aims to provide a comprehensive understanding of the current landscape and future directions in self-healing materials research.
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Affiliation(s)
- Rashid Dallaev
- Department of Physics, Faculty of Electrical Engineering and Communication, Brno University of Technology, Technická 2848/8, 61600 Brno, Czech Republic
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3
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Chudinov VS, Shardakov IN, Ivanov YN, Morozov IA, Belyaev AY, Glot IO. Mechanical Properties of the Carbonized Layer Formed by Ion Flow Orientated at Different Angles to the Polyurethane Surface. Polymers (Basel) 2023; 16:78. [PMID: 38201743 PMCID: PMC10780679 DOI: 10.3390/polym16010078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Revised: 12/18/2023] [Accepted: 12/23/2023] [Indexed: 01/12/2024] Open
Abstract
Polymer materials are widely used in medicine due to their mechanical properties and biological inertness. When ion-plasma treatment is used on a polymer material, a carbonization process occurs in the surface nanolayer of the polymer sample. As a result, a surface carbonized nanolayer is formed, which has mechanical properties different from those of the substrate. This layer has good biocompatibility. The formation of a carbonized nanolayer on the surface of polymer implants makes it possible to reduce the body's reaction to a foreign body. Typically, to study the properties of a carbonized layer, flat polymer samples are used, which are treated with an ion flow perpendicular to the surface. But medical endoprostheses often have a curved surface, so ion-plasma treatment can occur at different angles to the surface. This paper presents the results of a study of the morphological and mechanical properties of a carbonized layer formed on a polyurethane surface. The dependence of these properties on the directional angle of the ion flow and its fluence has been established. To study the surface morphology and elastic properties, methods of atomic force microscopy and methods of elasticity theory were used. The strength properties of the carbonized layer were studied using a stretching device combined with a digital optical microscope.
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Affiliation(s)
- Vyacheslav S. Chudinov
- Institute of Continuous Media Mechanics, Ural Branch of Russian Academy of Science, Academician Korolev Street 1, 614013 Perm, Russia; (I.N.S.); (I.A.M.); (A.Y.B.); (I.O.G.)
| | - Igor N. Shardakov
- Institute of Continuous Media Mechanics, Ural Branch of Russian Academy of Science, Academician Korolev Street 1, 614013 Perm, Russia; (I.N.S.); (I.A.M.); (A.Y.B.); (I.O.G.)
- Department of Computational Mathematics, Mechanics and Biomechanics, Perm National Research Polytechnic University, Komsomolsky Prospect 29, 614990 Perm, Russia
| | - Yaroslav N. Ivanov
- Faculty of Mechanics and Mathematics, Perm State University, Bukireva Street 15, 614990 Perm, Russia;
| | - Ilya A. Morozov
- Institute of Continuous Media Mechanics, Ural Branch of Russian Academy of Science, Academician Korolev Street 1, 614013 Perm, Russia; (I.N.S.); (I.A.M.); (A.Y.B.); (I.O.G.)
- Faculty of Mechanics and Mathematics, Perm State University, Bukireva Street 15, 614990 Perm, Russia;
| | - Anton Y. Belyaev
- Institute of Continuous Media Mechanics, Ural Branch of Russian Academy of Science, Academician Korolev Street 1, 614013 Perm, Russia; (I.N.S.); (I.A.M.); (A.Y.B.); (I.O.G.)
| | - Irina O. Glot
- Institute of Continuous Media Mechanics, Ural Branch of Russian Academy of Science, Academician Korolev Street 1, 614013 Perm, Russia; (I.N.S.); (I.A.M.); (A.Y.B.); (I.O.G.)
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4
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Gao Q, Chen Z, Yang X. A Temperature and pH Dual-Sensitive Multifunctional Polyurethane with Bacteria-Triggered Antibacterial Activity. Macromol Rapid Commun 2023; 44:e2300453. [PMID: 37800610 DOI: 10.1002/marc.202300453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 09/23/2023] [Indexed: 10/07/2023]
Abstract
An effective and practical antibacterial strategy is to design multifunctional and stimuli-responsive materials that exhibit antibacterial activity in response to bacterial triggers. In this study, because the metabolism of Staphylococcus aureus (S. aureus) can acidify the surrounding environment and pH level can affect the lower critical solution temperature of temperature/pH dual-sensitive polymers, a monomer containing a temperature-sensitive N-isopropyl amide derivative and pH-sensitive tertiary amine groups is first synthesized. Then, the monomer is copolymerized with a polyurethane chain, and partial tertiary amine groups are quaternized to obtain bactericidal activity. The modified polyurethane exhibits temperature/pH sensitivity, antibacterial adhesion activity, bactericidal activity, and good cytocompatibility. An in situ investigation of bacterial behavior and pH changes in the bacterial suspension during the process confirms that the temperature/pH dual-sensitive polyurethane successfully achieves antibacterial activity though the metabolic activity of S. aureus without external intervention. This design concept provides a new perspective for antibacterial material design.
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Affiliation(s)
- Qinwei Gao
- State Key Laboratory of Polymer Physics and Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun, 130022, P.R. China
- School of Applied Chemistry and Engineering, University of Science and Technology of China, Hefei, 230026, P.R. China
| | - Zhaobin Chen
- CAS Key Laboratory of High-Performance Synthetic Rubber and Its Composite Materials, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun, 130022, P.R. China
| | - Xiaoniu Yang
- State Key Laboratory of Polymer Physics and Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun, 130022, P.R. China
- School of Applied Chemistry and Engineering, University of Science and Technology of China, Hefei, 230026, P.R. China
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5
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Xu R, Fang Y, Zhang Z, Cao Y, Yan Y, Gan L, Xu J, Zhou G. Recent Advances in Biodegradable and Biocompatible Synthetic Polymers Used in Skin Wound Healing. MATERIALS (BASEL, SWITZERLAND) 2023; 16:5459. [PMID: 37570163 PMCID: PMC10419642 DOI: 10.3390/ma16155459] [Citation(s) in RCA: 20] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 07/29/2023] [Accepted: 08/02/2023] [Indexed: 08/13/2023]
Abstract
The treatment of skin wounds caused by trauma and pathophysiological disorders has been a growing healthcare challenge, posing a great economic burden worldwide. The use of appropriate wound dressings can help to facilitate the repair and healing rate of defective skin. Natural polymer biomaterials such as collagen and hyaluronic acid with excellent biocompatibility have been shown to promote wound healing and the restoration of skin. However, the low mechanical properties and fast degradation rate have limited their applications. Skin wound dressings based on biodegradable and biocompatible synthetic polymers can not only overcome the shortcomings of natural polymer biomaterials but also possess favorable properties for applications in the treatment of skin wounds. Herein, we listed several biodegradable and biocompatible synthetic polymers used as wound dressing materials, such as PVA, PCL, PLA, PLGA, PU, and PEO/PEG, focusing on their composition, fabrication techniques, and functions promoting wound healing. Additionally, the future development prospects of synthetic biodegradable polymer-based wound dressings are put forward. Our review aims to provide new insights for the further development of wound dressings using synthetic biodegradable polymers.
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Affiliation(s)
- Ruojiao Xu
- College of Life Science, Zhejiang Chinese Medical University, Hangzhou 310053, China; (R.X.); (Y.F.); (Z.Z.); (Y.C.); (Y.Y.); (L.G.)
| | - Yifeng Fang
- College of Life Science, Zhejiang Chinese Medical University, Hangzhou 310053, China; (R.X.); (Y.F.); (Z.Z.); (Y.C.); (Y.Y.); (L.G.)
| | - Zhao Zhang
- College of Life Science, Zhejiang Chinese Medical University, Hangzhou 310053, China; (R.X.); (Y.F.); (Z.Z.); (Y.C.); (Y.Y.); (L.G.)
| | - Yajie Cao
- College of Life Science, Zhejiang Chinese Medical University, Hangzhou 310053, China; (R.X.); (Y.F.); (Z.Z.); (Y.C.); (Y.Y.); (L.G.)
| | - Yujia Yan
- College of Life Science, Zhejiang Chinese Medical University, Hangzhou 310053, China; (R.X.); (Y.F.); (Z.Z.); (Y.C.); (Y.Y.); (L.G.)
| | - Li Gan
- College of Life Science, Zhejiang Chinese Medical University, Hangzhou 310053, China; (R.X.); (Y.F.); (Z.Z.); (Y.C.); (Y.Y.); (L.G.)
| | - Jinbao Xu
- School of Materials and Energy, Guangdong University of Technology, Guangzhou 510030, China
| | - Guoying Zhou
- College of Life Science, Zhejiang Chinese Medical University, Hangzhou 310053, China; (R.X.); (Y.F.); (Z.Z.); (Y.C.); (Y.Y.); (L.G.)
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6
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Bhandari S, Yadav V, Ishaq A, Sanipini S, Ekhator C, Khleif R, Beheshtaein A, Jhajj LK, Khan AW, Al Khalifa A, Naseem MA, Bellegarde SB, Nadeem MA. Trends and Challenges in the Development of 3D-Printed Heart Valves and Other Cardiac Implants: A Review of Current Advances. Cureus 2023; 15:e43204. [PMID: 37565179 PMCID: PMC10411854 DOI: 10.7759/cureus.43204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/09/2023] [Indexed: 08/12/2023] Open
Abstract
This article provides a comprehensive review of the current trends and challenges in the development of 3D-printed heart valves and other cardiac implants. By providing personalized solutions and pushing the limits of regenerative medicine, 3D printing technology has revolutionized the field of cardiac healthcare. The use of several organic and synthetic polymers in 3D printing heart valves is explored in this article, with emphasis on both their benefits and drawbacks. In cardiac tissue engineering, stem cells are essential, and their potential to lessen immunological rejection and thrombogenic consequences is highlighted. In the clinical applications section, the article emphasizes the importance of 3D printing in preoperative planning. Surgery results are enhanced when surgeons can visualize and assess the size and placement of implants using patient-specific anatomical models. Customized implants that are designed to match the anatomy of a particular patient reduce the likelihood of complications and enhance postoperative results. The development of physiologically active cardiac implants, made possible by 3D bioprinting, shows promise by eliminating the need for artificial valves. In conclusion, this paper highlights cutting-edge research and the promise of 3D-printed cardiac implants to improve patient outcomes and revolutionize cardiac treatment.
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Affiliation(s)
| | - Vikas Yadav
- Internal Medicine, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, IND
| | - Aqsa Ishaq
- Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, PAK
| | | | - Chukwuyem Ekhator
- Neuro-Oncology, New York Institute of Technology, College of Osteopathic Medicine, Old Westbury, USA
| | - Rafeef Khleif
- Medicine, Xavier University School of Medicine, Aruba, ABW
| | - Alee Beheshtaein
- Internal Medicine, Xavier University School of Medicine, Chicago, USA
| | - Loveleen K Jhajj
- Internal Medicine, Xavier University School of Medicine, Oranjestad, ABW
| | | | - Ahmed Al Khalifa
- Medicine, College of Medicine, Sulaiman Alrajhi University, Al Bukayriyah, SAU
| | | | - Sophia B Bellegarde
- Pathology and Laboratory Medicine, American University of Antigua, St. John's, ATG
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7
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Zhou J, Li Y, Li T, Tian X, Xiong Y, Chen Y. Analysis of the Effect of Thickness on the Performance of Polymeric Heart Valves. J Funct Biomater 2023; 14:309. [PMID: 37367273 DOI: 10.3390/jfb14060309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 05/17/2023] [Accepted: 05/26/2023] [Indexed: 06/28/2023] Open
Abstract
Polymeric heart valves (PHVs) are a promising and more affordable alternative to mechanical heart valves (MHVs) and bioprosthetic heart valves (BHVs). Materials with good durability and biocompatibility used for PHVs have always been the research focus in the field of prosthetic heart valves for many years, and leaflet thickness is a major design parameter for PHVs. The study aims to discuss the relationship between material properties and valve thickness, provided that the basic functions of PHVs are qualified. The fluid-structure interaction (FSI) approach was employed to obtain a more reliable solution of the effective orifice area (EOA), regurgitant fraction (RF), and stress and strain distribution of the valves with different thicknesses under three materials: Carbothane PC-3585A, xSIBS and SIBS-CNTs. This study demonstrates that the smaller elastic modulus of Carbothane PC-3585A allowed for a thicker valve (>0.3 mm) to be produced, while for materials with an elastic modulus higher than that of xSIBS (2.8 MPa), a thickness less than 0.2 mm would be a good attempt to meet the RF standard. What is more, when the elastic modulus is higher than 23.9 MPa, the thickness of the PHV is recommended to be 0.l-0.15 mm. Reducing the RF is one of the directions of PHV optimization in the future. Reducing the thickness and improving other design parameters are reliable means to reduce the RF for materials with high and low elastic modulus, respectively.
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Affiliation(s)
- Jingyuan Zhou
- Department of Applied Mechanics, Sichuan University, Chengdu 610065, China
| | - Yijing Li
- College of Mechanical Engineering, Sichuan University, Chengdu 610065, China
| | - Tao Li
- College of Mechanical Engineering, Sichuan University, Chengdu 610065, China
| | - Xiaobao Tian
- Department of Applied Mechanics, Sichuan University, Chengdu 610065, China
| | - Yan Xiong
- College of Mechanical Engineering, Sichuan University, Chengdu 610065, China
| | - Yu Chen
- Department of Applied Mechanics, Sichuan University, Chengdu 610065, China
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8
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Coronel-Meneses D, Sánchez-Trasviña C, Ratera I, Mayolo-Deloisa K. Strategies for surface coatings of implantable cardiac medical devices. Front Bioeng Biotechnol 2023; 11:1173260. [PMID: 37256118 PMCID: PMC10225971 DOI: 10.3389/fbioe.2023.1173260] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 04/25/2023] [Indexed: 06/01/2023] Open
Abstract
Cardiac medical devices (CMDs) are required when the patient's cardiac capacity or activity is compromised. To guarantee its correct functionality, the building materials in the development of CMDs must focus on several fundamental properties such as strength, stiffness, rigidity, corrosion resistance, etc. The challenge is more significant because CMDs are generally built with at least one metallic and one polymeric part. However, not only the properties of the materials need to be taken into consideration. The biocompatibility of the materials represents one of the major causes of the success of CMDs in the short and long term. Otherwise, the material will lead to several problems of hemocompatibility (e.g., protein adsorption, platelet aggregation, thrombus formation, bacterial infection, and finally, the rejection of the CMDs). To enhance the hemocompatibility of selected materials, surface modification represents a suitable solution. The surface modification involves the attachment of chemical compounds or bioactive compounds to the surface of the material. These coatings interact with the blood and avoid hemocompatibility and infection issues. This work reviews two main topics: 1) the materials employed in developing CMDs and their key characteristics, and 2) the surface modifications reported in the literature, clinical trials, and those that have reached the market. With the aim of providing to the research community, considerations regarding the choice of materials for CMDs, together with the advantages and disadvantages of the surface modifications and the limitations of the studies performed.
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Affiliation(s)
- David Coronel-Meneses
- Tecnologico de Monterrey, The Institute for Obesity Research, Monterrey, Mexico
- Tecnologico de Monterrey, Escuela de Ingeniería y Ciencias, Centro de Biotecnología-FEMSA, Monterrey, Mexico
| | - Calef Sánchez-Trasviña
- Tecnologico de Monterrey, The Institute for Obesity Research, Monterrey, Mexico
- Tecnologico de Monterrey, Escuela de Ingeniería y Ciencias, Centro de Biotecnología-FEMSA, Monterrey, Mexico
| | - Imma Ratera
- Institute of Materials Science of Barcelona (ICMAB-CSIC), Campus UAB, Bellaterra, Spain
- Centro de Investigación Biomédica en Red de Bioingeniería, Instituto de Salud Carlos IIIBellaterra, Spain
| | - Karla Mayolo-Deloisa
- Tecnologico de Monterrey, The Institute for Obesity Research, Monterrey, Mexico
- Tecnologico de Monterrey, Escuela de Ingeniería y Ciencias, Centro de Biotecnología-FEMSA, Monterrey, Mexico
- Institute of Materials Science of Barcelona (ICMAB-CSIC), Campus UAB, Bellaterra, Spain
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9
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Zeng L, Liu F, Yu Q, Jin C, Yang J, Suo Z, Tang J. Flaw-insensitive fatigue resistance of chemically fixed collagenous soft tissues. SCIENCE ADVANCES 2023; 9:eade7375. [PMID: 36867693 PMCID: PMC9984180 DOI: 10.1126/sciadv.ade7375] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 01/31/2023] [Indexed: 06/18/2023]
Abstract
Bovine pericardium (BP) has been used as leaflets of prosthetic heart valves. The leaflets are sutured on metallic stents and can survive 400 million flaps (~10-year life span), unaffected by the suture holes. This flaw-insensitive fatigue resistance is unmatched by synthetic leaflets. We show that the endurance strength of BP under cyclic stretch is insensitive to cuts as long as 1 centimeter, about two orders of magnitude longer than that of a thermoplastic polyurethane (TPU). The flaw-insensitive fatigue resistance of BP results from the high strength of collagen fibers and soft matrix between them. When BP is stretched, the soft matrix enables a collagen fiber to transmit tension over a long length. The energy in the long length dissipates when the fiber breaks. We demonstrate that a BP leaflet greatly outperforms a TPU leaflet. It is hoped that these findings will aid the development of soft materials for flaw-insensitive fatigue resistance.
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Affiliation(s)
- Liangsong Zeng
- State Key Lab for Strength and Vibration of Mechanical Structures, International Center for Applied Mechanics, Department of Engineering Mechanics, Xi’an Jiaotong University, Xi’an, China
| | - Fengkai Liu
- State Key Lab for Strength and Vibration of Mechanical Structures, International Center for Applied Mechanics, Department of Engineering Mechanics, Xi’an Jiaotong University, Xi’an, China
| | - Qifeng Yu
- Shanghai NewMed Medical Corporation, Shanghai, China
| | - Chenyu Jin
- State Key Lab for Strength and Vibration of Mechanical Structures, International Center for Applied Mechanics, Department of Engineering Mechanics, Xi’an Jiaotong University, Xi’an, China
| | - Jian Yang
- Department of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi’an 710032, China
| | - Zhigang Suo
- John A. Paulson School of Engineering and Applied Sciences, Kavli Institute for Bionano Science and Technology, Harvard University, Cambridge, MA, USA
| | - Jingda Tang
- State Key Lab for Strength and Vibration of Mechanical Structures, International Center for Applied Mechanics, Department of Engineering Mechanics, Xi’an Jiaotong University, Xi’an, China
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10
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Kara F, Aksoy EA, Aksoy S, Hasirci N. Coating of silver nanoparticles on polyurethane film surface by green chemistry approach and investigation of antibacterial activity against S. epidermidis. J BIOACT COMPAT POL 2022. [DOI: 10.1177/08839115221098056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Silver nanoparticles with potential antibacterial properties are included in biomaterials for the production of medical devices, which are used for diagnoses or treatment purposes. The aim of the current study was coating the polyurethane (PU) films with silver nanoparticles (AgNPs) due to their antibacterial efficacy. PU films were first modified by chitosan (CH), treated with AgNO3 to let CH chelate with silver ions, and then treated with vitamin-C (vit C) or glucose (Glu) to reduce the adsorbed ions to atomic silver to form AgNPs. The surfaces of the films were examined by ATR-FTIR, XPS, XRD, and SEM. Chemical bond formation between CH and Ag ions and AgNPs were determined by ATR-FTIR. Meanwhile, XPS and SEM analyses proved the presence of reduced metallic silver and nanoparticles on the film surfaces, respectively. According to the SEM analyses, a homogeneous distribution of AgNPs, with sizes 99–214 nm and 37–54 nm, on the film surfaces were obtained depending on Glu or vit C reduction, respectively. The films presented excellent antibacterial performance against Gram positive Staphylococcus epidermidis ( S. epidermidis). These results suggested that the mentioned green technology can be easily applied to obtain AgNP coated polymeric surfaces with very high antibacterial efficacy. Although there are some studies dealing with AgNP formation on PU sponges or fibers, to the best of our knowledge, this is the first study showing AgNP formation on the CH conjugated PU films.
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Affiliation(s)
- Filiz Kara
- Department of Industrial Engineering, Faculty of Engineering, Başkent University, Ankara, Turkey
| | - Eda Ayse Aksoy
- Department of Basic Pharmaceutical Sciences, Faculty of Pharmacy, Hacettepe University, Ankara, Turkey
- Department of Polymer Science and Technology, Institute for Graduate Studies in Science and Engineering, Hacettepe University, Ankara, Turkey
| | - Serpil Aksoy
- Department of Chemistry, Faculty of Science, Gazi University, Ankara, Turkey
| | - Nesrin Hasirci
- Department of Chemistry, Middle East Technical University (METU), Ankara, Turkey
- BIOMATEN, Center of Excellence in Biomaterials and Tissue Engineering, Middle East Technical University (METU), Ankara, Turkey
- Near East University, Tissue Engineering and Biomaterial Research Center, Nicosia, TRNC, Mersin 10, Turkey
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11
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Ozimek J, Pielichowski K. Recent Advances in Polyurethane/POSS Hybrids for Biomedical Applications. Molecules 2021; 27:molecules27010040. [PMID: 35011280 PMCID: PMC8746980 DOI: 10.3390/molecules27010040] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Revised: 12/17/2021] [Accepted: 12/19/2021] [Indexed: 11/16/2022] Open
Abstract
Advanced organic-inorganic materials-composites, nanocomposites, and hybrids with various compositions offer unique properties required for biomedical applications. One of the most promising inorganic (nano)additives are polyhedral oligomeric silsesquioxanes (POSS); their biocompatibility, non-toxicity, and phase separation ability that modifies the material porosity are fundamental properties required in modern biomedical applications. When incorporated, chemically or physically, into polyurethane matrices, they substantially change polymer properties, including mechanical properties, surface characteristics, and bioactivity. Hence, this review is dedicated to POSS-PU composites that have recently been developed for applications in the biomedical field. First, different modes of POSS incorporation into PU structure have been presented, then recent developments of PU/POSS hybrids as bio-active composites for scaffolds, cardiovascular stents, valves, and membranes, as well as in bio-imaging and cancer treatment, have been described. Finally, characterization and methods of modification routes of polyurethane-based materials with silsesquioxanes were presented.
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12
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Shao Z, Tao T, Xu H, Chen C, Lee I, Chung S, Dong Z, Li W, Ma L, Bai H, Chen Q. Recent progress in biomaterials for heart valve replacement: Structure, function, and biomimetic design. VIEW 2021. [DOI: 10.1002/viw.20200142] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Affiliation(s)
- Ziyu Shao
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine & Clinical Research Center for Oral Diseases of Zhejiang Province Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University Hangzhou 310006 China
- State Key Laboratory of Chemical Engineering College of Chemical and Biological Engineering Zhejiang University Hangzhou China
| | - Tingting Tao
- Department of Cardiovascular Surgery The First Affiliated Hospital Zhejiang University School of Medicine Hangzhou Zhejiang Province China
| | - Hongfei Xu
- Department of Cardiovascular Surgery The First Affiliated Hospital Zhejiang University School of Medicine Hangzhou Zhejiang Province China
| | - Cen Chen
- College of Life Sciences and Medicine Zhejiang Sci‐Tech University Hangzhou China
| | - In‐Seop Lee
- College of Life Sciences and Medicine Zhejiang Sci‐Tech University Hangzhou China
- Institute of Natural Sciences Yonsei University Seoul Republic of Korea
| | - Sungmin Chung
- Biomaterials R&D Center GENOSS Co., Ltd. Suwon‐si Republic of Korea
| | - Zhihui Dong
- State Key Laboratory of Chemical Engineering College of Chemical and Biological Engineering Zhejiang University Hangzhou China
| | - Weidong Li
- Department of Cardiovascular Surgery The First Affiliated Hospital Zhejiang University School of Medicine Hangzhou Zhejiang Province China
| | - Liang Ma
- Department of Cardiovascular Surgery The First Affiliated Hospital Zhejiang University School of Medicine Hangzhou Zhejiang Province China
| | - Hao Bai
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine & Clinical Research Center for Oral Diseases of Zhejiang Province Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University Hangzhou 310006 China
- State Key Laboratory of Chemical Engineering College of Chemical and Biological Engineering Zhejiang University Hangzhou China
| | - Qianming Chen
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine & Clinical Research Center for Oral Diseases of Zhejiang Province Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University Hangzhou 310006 China
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Hydrogel Surface-Modified Polyurethane Copolymer Film with Water Permeation Resistance and Biocompatibility for Implantable Biomedical Devices. MICROMACHINES 2021; 12:mi12040447. [PMID: 33923516 PMCID: PMC8072913 DOI: 10.3390/mi12040447] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 04/12/2021] [Accepted: 04/13/2021] [Indexed: 11/17/2022]
Abstract
To use implantable biomedical devices such as electrocardiograms and neurostimulators in the human body, it is necessary to package them with biocompatible materials that protect the internal electronic circuits from the body’s internal electrolytes and moisture without causing foreign body reactions. Herein, we describe a hydrogel surface-modified polyurethane copolymer film with concurrent water permeation resistance and biocompatibility properties for application to an implantable biomedical device. To achieve this, hydrophobic polyurethane copolymers comprising hydrogenated poly(ethylene-co-butylene) (HPEB) and aliphatic poly(carbonate) (PC) were synthesized and their hydrophobicity degree and mechanical properties were adjusted by controlling the copolymer composition ratio. When 10 wt% PC was introduced, the polyurethane copolymer exhibited hydrophobicity and water permeation resistance similar to those of HPEB; however, with improved mechanical properties. Subsequently, a hydrophilic poly(vinyl pyrrolidone) (PVP) hydrogel layer was formed on the surface of the polyurethane copolymer film by Fenton reaction using an initiator and crosslinking agent and the effect of the initiator and crosslinking agent immobilization time, PVP concentration and crosslinking agent concentration on the hydrogel properties were investigated. Finally, MTT assay showed that the hydrogel surface-modified polyurethane copolymer film displays excellent biocompatibility.
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Gulmez F, Yercan A, Kocaaga B, Guner FS. pH-sensitive castor oil/PEG-based polyurethane films for drug delivery. J Drug Deliv Sci Technol 2021. [DOI: 10.1016/j.jddst.2020.102160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Zheng M, Guo J, Li Q, Yang J, Han Y, Yang H, Yu M, Zhong L, Lu D, Li L, Sun L. Syntheses and characterization of anti-thrombotic and anti-oxidative Gastrodin-modified polyurethane for vascular tissue engineering. Bioact Mater 2021; 6:404-419. [PMID: 32995669 PMCID: PMC7486448 DOI: 10.1016/j.bioactmat.2020.08.008] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Revised: 08/12/2020] [Accepted: 08/12/2020] [Indexed: 12/15/2022] Open
Abstract
Vascular grafts must avoid negative inflammatory responses and thrombogenesis to prohibit fibrotic deposition immediately upon implantation and promote the regeneration of small diameter blood vessels (<6 mm inner diameter). Here, polyurethane (PU) elastomers incorporating anti-coagulative and anti-inflammatory Gastrodin were fabricated. The films had inter-connected pores with porosities equal to or greater than 86% and pore sizes ranging from 250 to 400 μm. Incorporation of Gastrodin into PU films resulted in desirable mechanical properties, hydrophilicity, swelling ratios and degradation rates without collapse. The released Gastrodin maintained bioactivity over 21 days as assessed by its anti-oxidative capability. The Gastrodin/PU had better anti-coagulation response (less observable BSA, fibrinogen and platelet adhesion/activation and suppressed clotting in whole blood). Red blood cell compatibility, measured by hemolysis, was greatly improved with 2Gastrodin/PU compared to other Gastrodin/PU groups. Notably, Gastrodin/PU upregulated anti-oxidant factors Nrf2 and HO-1 expression in H2O2 treated HUVECs, correlated with decreasing pro-inflammatory cytokines TNF-α and IL-1β in RAW 264.7 cells. Upon implantation in a subcutaneous pocket, PU was encapsulated by an obvious fibrous capsule, concurrent with a large amount of inflammatory cell infiltration, while Gastrodin/PU induced a thinner fibrous capsule, especially 2Gastrodin/PU. Further, enhanced adhesion and proliferation of HUVECs seeded onto films in vitro demonstrated that 2Gastrodin/PU could help cell recruitment, as evidenced by rapid host cell infiltration and substantial blood vessel formation in vivo. These results indicate that 2Gastrodin/PU has the potential to facilitate blood vessel regeneration, thus providing new insight into the development of clinically effective vascular grafts.
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Affiliation(s)
- Meng Zheng
- Yunnan Key Laboratory of Stem Cell and Regenerative Medicine, Science and Technology Achievement Incubation Center, Kunming Medical University, Kunming, 650500, China
| | - Jiazhi Guo
- Yunnan Key Laboratory of Stem Cell and Regenerative Medicine, Science and Technology Achievement Incubation Center, Kunming Medical University, Kunming, 650500, China
| | - Qing Li
- Yunnan Key Laboratory of Stem Cell and Regenerative Medicine, Science and Technology Achievement Incubation Center, Kunming Medical University, Kunming, 650500, China
| | - Jian Yang
- Department of Biomedical Engineering, Materials Research Institute, The Huck Institutes of the Life Sciences, The Pennsylvania State University, University Park, PA, 16802, USA
| | - Yi Han
- Yunnan Key Laboratory of Stem Cell and Regenerative Medicine, Science and Technology Achievement Incubation Center, Kunming Medical University, Kunming, 650500, China
| | - Hongcai Yang
- Department of Neurology, The First Affiliated Hospital, Kunming Medical University, Kunming, 650500, China
| | - Mali Yu
- Yunnan Key Laboratory of Stem Cell and Regenerative Medicine, Science and Technology Achievement Incubation Center, Kunming Medical University, Kunming, 650500, China
| | - Lianmei Zhong
- Department of Neurology, The First Affiliated Hospital, Kunming Medical University, Kunming, 650500, China
| | - Di Lu
- Yunnan Key Laboratory of Stem Cell and Regenerative Medicine, Science and Technology Achievement Incubation Center, Kunming Medical University, Kunming, 650500, China
| | - Limei Li
- Yunnan Key Laboratory of Stem Cell and Regenerative Medicine, Science and Technology Achievement Incubation Center, Kunming Medical University, Kunming, 650500, China
| | - Lin Sun
- Department of Cardiology, The Second Affiliated Hospital, Kunming Medical University, Kunming, 650032, China
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Borcan F, Len A, Dehelean CA, Dudás Z, Ghiulai R, Iftode A, Racoviceanu R, Soica CM. Design and Assessment of a Polyurethane Carrier Used for the Transmembrane Transfer of Acyclovir. NANOMATERIALS 2020; 11:nano11010051. [PMID: 33379150 PMCID: PMC7823466 DOI: 10.3390/nano11010051] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 12/22/2020] [Accepted: 12/24/2020] [Indexed: 02/07/2023]
Abstract
THE Herpes simplex viruses (HSV-1, HSV-2) are responsible for a wide variety of conditions, from cutaneous-mucosal to central nervous system (CNS) infections and occasional infections of the visceral organs, some of them with a lethal end. Acyclovir is often used intravenously, orally, or locally to treat herpetic infections but it must be administered with caution to patients with kidney disease and to children of early age. The main objectives of this study were to synthesize and evaluate new polyurethane nanoparticles that might be used as proper transmembrane carriers for acyclovir. Polyurethane particles were obtained by a polyaddition process: a mixture of two aliphatic diisocyanates used as organic phase was added to a mixture of butanediol and polyethylene glycol used as aqueous phase. Two different samples (with and without acyclovir, respectively) were synthesized and characterized by UV-Vis spectra in order to assess the encapsulation efficacy and the release profile, FT-IR, DSC, SEM, and SANS for structural characterization, as well as skin irritation tests. Nearly homogeneous samples with particle sizes between 78 and 91 nm have been prepared and characterized revealing a medium tendency to form clusters and a high resistance to heat up to 300 °C. The release profile of these nanoparticles is characteristic to a drug delivery system with a late discharge of the loaded active agents. Very slight increases in the level of transepidermal water loss and erythema were found in a 15-day evaluation on human skin. The results suggest the synthesis of a non-irritative carrier with a high encapsulation efficacy that can be successfully used for the transmembrane transfer of acyclovir.
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Affiliation(s)
- Florin Borcan
- Department I, Faculty of Pharmacy, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania;
| | - Adél Len
- Neutron Spectroscopy Department, Centre for Energy Research, H-1121 Budapest, Hungary;
- Faculty of Engineering and Information Technology, University of Pécs, H-7624 Pécs, Hungary
| | - Cristina A. Dehelean
- Department II, Faculty of Pharmacy, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; (C.A.D.); (A.I.); (R.R.); (C.M.S.)
| | - Zoltán Dudás
- Neutron Spectroscopy Department, Centre for Energy Research, H-1121 Budapest, Hungary;
- “Coriolan Drăgulescu” Institute of Chemistry, 300223 Timisoara, Romania
- Correspondence: (Z.D.); (R.G.); Tel.: +36-1-392-2222/1849 (Z.D.); +40-723-326-823 (R.G.)
| | - Roxana Ghiulai
- Department II, Faculty of Pharmacy, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; (C.A.D.); (A.I.); (R.R.); (C.M.S.)
- Correspondence: (Z.D.); (R.G.); Tel.: +36-1-392-2222/1849 (Z.D.); +40-723-326-823 (R.G.)
| | - Andrada Iftode
- Department II, Faculty of Pharmacy, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; (C.A.D.); (A.I.); (R.R.); (C.M.S.)
| | - Roxana Racoviceanu
- Department II, Faculty of Pharmacy, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; (C.A.D.); (A.I.); (R.R.); (C.M.S.)
| | - Codruta M. Soica
- Department II, Faculty of Pharmacy, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; (C.A.D.); (A.I.); (R.R.); (C.M.S.)
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Rusu LC, Ardelean LC, Jitariu AA, Miu CA, Streian CG. An Insight into the Structural Diversity and Clinical Applicability of Polyurethanes in Biomedicine. Polymers (Basel) 2020; 12:E1197. [PMID: 32456335 PMCID: PMC7285236 DOI: 10.3390/polym12051197] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Revised: 05/13/2020] [Accepted: 05/22/2020] [Indexed: 01/16/2023] Open
Abstract
Due to their mechanical properties, ranging from flexible to hard materials, polyurethanes (PUs) have been widely used in many industrial and biomedical applications. PUs' characteristics, along with their biocompatibility, make them successful biomaterials for short and medium-duration applications. The morphology of PUs includes two structural phases: hard and soft segments. Their high mechanical resistance featuresare determined by the hard segment, while the elastomeric behaviour is established by the soft segment. The most important biomedical applications of PUs include antibacterial surfaces and catheters, blood oxygenators, dialysis devices, stents, cardiac valves, vascular prostheses, bioadhesives/surgical dressings/pressure-sensitive adhesives, drug delivery systems, tissue engineering scaffolds and electrospinning, nerve generation, pacemaker lead insulation and coatings for breast implants. The diversity of polyurethane properties, due to the ease of bulk and surface modification, plays a vital role in their applications.
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Affiliation(s)
- Laura-Cristina Rusu
- Department of Oral Pathology, “Victor Babes” University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu sq, 300041 Timisoara, Romania;
| | - Lavinia Cosmina Ardelean
- Department of Technology of Materials and Devices in Dental Medicine, “Victor Babes” University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu sq, 300041 Timisoara, Romania
| | - Adriana-Andreea Jitariu
- Department of Microscopic Morphology/Histology and Angiogenesis Research Center Timisoara, “Victor Babes” University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu sq, 300041 Timisoara, Romania;
| | - Catalin Adrian Miu
- 3rd Department of Orthopaedics-Traumatology, “Victor Babes” University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu sq, 300041 Timisoara, Romania;
| | - Caius Glad Streian
- Department of Cardiac Surgery, “Victor Babes” University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu sq, 300041 Timisoara, Romania;
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Ding X, Gao J, Acharya AP, Wu YL, Little SR, Wang Y. Azido-Functionalized Polyurethane Designed for Making Tunable Elastomers by Click Chemistry. ACS Biomater Sci Eng 2020; 6:852-864. [PMID: 33464838 DOI: 10.1021/acsbiomaterials.9b01357] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Polyurethane is an important biomaterial with wide applications in biomedical engineering. Here, we report a new method to make an azido-functionalized polyurethane prepolymer with no need of postmodification. This prepolymer can easily form stable porous elastomers through click chemistry for cross-linking, instead of using a toxic polyisocyanate. The mechanical properties can be modulated by simply adjusting either the prepolymer concentrations or azido/alkyne ratios for cross-linking. Young's modulus therefore varies from 0.52 to 2.02 MPa for the porous elastomers. When the azido-functionalized polyurethane elastomer is made with a compact structure, Young's modulus increases up to 28.8 MPa at 0-15% strain. The strain at break reaches 150% that is comparable to the commercially resourced Nylon-12. Both the porous and compact elastomers could undergo reversible elastic deformations for at least 200 and 1000 cycles, respectively, within 20% strain without failure. The material showed a considerable stability against erosion in a basic solution. In vivo biocompatibility study demonstrated no degradation by subcutaneous implantation in mice over 2 months. The implant induced only a mild inflammatory response and fibrotic capsule. This material might be useful to make elastomeric components of biomedical devices.
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Affiliation(s)
- Xiaochu Ding
- Nancy E. and Peter C. Meining School of Biomedical Engineering, Cornell University, 277 Kimball Hall, Hollister Drive 134, Ithaca, New York 14853, United States
| | - Jin Gao
- School of Dental Medicine, University of Pittsburgh, 335 Sutherland Drive, 522 Salk Pavilion, Pittsburgh, Pennsylvania 15260, United States
| | - Abhinav P Acharya
- Department of Chemical Engineering, Arizona State University, 501 E. Tyler Mall, Tempe, Arizona 85287, United States
| | - Yen-Lin Wu
- Nancy E. and Peter C. Meining School of Biomedical Engineering, Cornell University, 277 Kimball Hall, Hollister Drive 134, Ithaca, New York 14853, United States
| | - Steven R Little
- Department of Chemical and Petroleum Engineering, University of Pittsburgh, 940 Benedum Hall, 3700 O'Hara Street, Pittsburgh, Pennsylvania 15261, United States
| | - Yadong Wang
- Nancy E. and Peter C. Meining School of Biomedical Engineering, Cornell University, 277 Kimball Hall, Hollister Drive 134, Ithaca, New York 14853, United States
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19
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Li RL, Russ J, Paschalides C, Ferrari G, Waisman H, Kysar JW, Kalfa D. Mechanical considerations for polymeric heart valve development: Biomechanics, materials, design and manufacturing. Biomaterials 2019; 225:119493. [PMID: 31569017 PMCID: PMC6948849 DOI: 10.1016/j.biomaterials.2019.119493] [Citation(s) in RCA: 43] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 08/21/2019] [Accepted: 09/11/2019] [Indexed: 01/12/2023]
Abstract
The native human heart valve leaflet contains a layered microstructure comprising a hierarchical arrangement of collagen, elastin, proteoglycans and various cell types. Here, we review the various experimental methods that have been employed to probe this intricate microstructure and which attempt to elucidate the mechanisms that govern the leaflet's mechanical properties. These methods include uniaxial, biaxial, and flexural tests, coupled with microstructural characterization techniques such as small angle X-ray scattering (SAXS), small angle light scattering (SALS), and polarized light microscopy. These experiments have revealed complex elastic and viscoelastic mechanisms that are highly directional and dependent upon loading conditions and biochemistry. Of all engineering materials, polymers and polymer-based composites are best able to mimic the tissue-level mechanical behavior of the native leaflet. This similarity to native tissue permits the fabrication of polymeric valves with physiological flow patterns, reducing the risk of thrombosis compared to mechanical valves and in some cases surpassing the in vivo durability of bioprosthetic valves. Earlier work on polymeric valves simply assumed the mechanical properties of the polymer material to be linear elastic, while more recent studies have considered the full hyperelastic stress-strain response. These material models have been incorporated into computational models for the optimization of valve geometry, with the goal of minimizing internal stresses and improving durability. The latter portion of this review recounts these developments in polymeric heart valves, with a focus on mechanical testing of polymers, valve geometry, and manufacturing methods.
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Affiliation(s)
- Richard L Li
- Department of Mechanical Engineering, Fu Foundation School of Engineering and Applied Science, Columbia University, New York, NY, USA; Division of Cardiac, Thoracic and Vascular Surgery, Section of Pediatric and Congenital Cardiac Surgery, New-York Presbyterian - Morgan Stanley Children's Hospital, Columbia University Medical Center, New York, NY, USA
| | - Jonathan Russ
- Department of Civil Engineering and Engineering Mechanics, Fu Foundation School of Engineering and Applied Science, Columbia University, New York, NY, USA
| | - Costas Paschalides
- Department of Mechanical Engineering, Fu Foundation School of Engineering and Applied Science, Columbia University, New York, NY, USA
| | - Giovanni Ferrari
- Department of Surgery and Biomedical Engineering, Columbia University Medical Center, New York, NY, USA
| | - Haim Waisman
- Department of Civil Engineering and Engineering Mechanics, Fu Foundation School of Engineering and Applied Science, Columbia University, New York, NY, USA
| | - Jeffrey W Kysar
- Department of Mechanical Engineering, Fu Foundation School of Engineering and Applied Science, Columbia University, New York, NY, USA; Department of Otolaryngology - Head and Neck Surgery, Columbia University Medical Center, New York, NY, USA.
| | - David Kalfa
- Division of Cardiac, Thoracic and Vascular Surgery, Section of Pediatric and Congenital Cardiac Surgery, New-York Presbyterian - Morgan Stanley Children's Hospital, Columbia University Medical Center, New York, NY, USA.
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20
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Xie F, Zhang T, Bryant P, Kurusingal V, Colwell JM, Laycock B. Degradation and stabilization of polyurethane elastomers. Prog Polym Sci 2019. [DOI: 10.1016/j.progpolymsci.2018.12.003] [Citation(s) in RCA: 143] [Impact Index Per Article: 28.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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21
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Mansur S, Othman MHD, Ismail AF, Kadir SHSA, Goh PS, Hasbullah H, Ng BC, Abdullah MS, Kamal F, Abidin MNZ, Lusiana RA. Synthesis and characterisation of composite sulphonated polyurethane/polyethersulphone membrane for blood purification application. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2019; 99:491-504. [PMID: 30889724 DOI: 10.1016/j.msec.2019.01.092] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2018] [Revised: 01/18/2019] [Accepted: 01/20/2019] [Indexed: 11/26/2022]
Abstract
Polyurethane (PU) with three different functional groups: carboxyl, hydroxyl and sulphonyl group on its molecular structure were synthesised in this work. The synthesised material suppresses blood clotting and exhibits anticoagulant characteristics due to the presence of the important anionic groups. The synthesised PU was blended with polyethersulphone (PES) and fabricated into flat-sheet membrane to study the physico-chemical and biocompatibility properties of the PES membrane for blood purification application. PES-PU flat-sheet membranes were fabricated via the dry-wet phase separation technique. Different loading of PU (0, 1, 2, 3, 4, and 5%) blended with PES was studied and compared. Based on the in-vitro biocompatibility analysis of the membrane, it can be suggested that the membrane incorporated with PU has better anticoagulant properties compared to the pristine PES membrane. PU incorporation prolonged the clotting time, decreased the formation of thrombin, decreased soluble complement component 3a (C3a) generation and suppressed platelet adhesion and aggregation. The anionic groups on the membrane surface might bind to coagulation factors (antithrombin) and the calcium ions, Ca2+ and thus improve anticoagulant ability. Based on both physico-chemical and in-vitro studied, 4% loading of PU is the optimum loading for incorporation with PES membrane. These results suggested that the blended PES-PU membranes with good haemocompatibility allowed practical application in the field of blood purification.
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Affiliation(s)
- Sumarni Mansur
- Advanced Membrane Technology Research Centre (AMTEC), School of Chemical and Energy Engineering (SCEE), Universiti Teknologi Malaysia, 81310 UTM Skudai, Johor, Malaysia
| | - Mohd Hafiz Dzarfan Othman
- Advanced Membrane Technology Research Centre (AMTEC), School of Chemical and Energy Engineering (SCEE), Universiti Teknologi Malaysia, 81310 UTM Skudai, Johor, Malaysia.
| | - Ahmad Fauzi Ismail
- Advanced Membrane Technology Research Centre (AMTEC), School of Chemical and Energy Engineering (SCEE), Universiti Teknologi Malaysia, 81310 UTM Skudai, Johor, Malaysia
| | - Siti Hamimah Sheikh Abdul Kadir
- Institute of Molecular Medicine and Biotechnology, Faculty of Medicine, Universiti Teknologi Mara Sungai Buloh Campus, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
| | - Pei Sean Goh
- Advanced Membrane Technology Research Centre (AMTEC), School of Chemical and Energy Engineering (SCEE), Universiti Teknologi Malaysia, 81310 UTM Skudai, Johor, Malaysia
| | - Hasrinah Hasbullah
- Advanced Membrane Technology Research Centre (AMTEC), School of Chemical and Energy Engineering (SCEE), Universiti Teknologi Malaysia, 81310 UTM Skudai, Johor, Malaysia
| | - Be Cheer Ng
- Advanced Membrane Technology Research Centre (AMTEC), School of Chemical and Energy Engineering (SCEE), Universiti Teknologi Malaysia, 81310 UTM Skudai, Johor, Malaysia
| | - Mohd Sohaimi Abdullah
- Advanced Membrane Technology Research Centre (AMTEC), School of Chemical and Energy Engineering (SCEE), Universiti Teknologi Malaysia, 81310 UTM Skudai, Johor, Malaysia
| | - Fatmawati Kamal
- Institute of Molecular Medicine and Biotechnology, Faculty of Medicine, Universiti Teknologi Mara Sungai Buloh Campus, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
| | - Muhammad Nidzhom Zainol Abidin
- Advanced Membrane Technology Research Centre (AMTEC), School of Chemical and Energy Engineering (SCEE), Universiti Teknologi Malaysia, 81310 UTM Skudai, Johor, Malaysia
| | - Retno Ariadi Lusiana
- Department of Chemistry, Faculty of Science and Mathematics, Universitas Diponegoro, Jalan.Prof. Soedarto, S.H.Tembalang, Tembalang, Kota Semarang, Jawa Tengah 50275, Indonesia
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22
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Meng S, Mao J, Rouse EN, Le-Bel G, Bourget JM, Reed RR, Philippe E, How D, Zhang Z, Germain L, Guidoin R. The Red Kangaroo pericardium as a material source for the manufacture of percutaneous heart valves. Morphologie 2019; 103:37-47. [PMID: 30638803 DOI: 10.1016/j.morpho.2018.12.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Accepted: 12/06/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND The kangaroo pericardium might be considered to be a good candidate material for use in the manufacture of the leaflets of percutaneous heart valves based upon the unique lifestyle. The diet consists of herbs, forbs and strubs. The kangaroo pericardium holds an undulated structure of collagen. MATERIAL AND METHOD A Red Kangaroo was obtained after a traffic fatality and the pericardium was dissected. Four compasses were cut from four different sites: auricular (AUR), atrial (ATR), sternoperitoneal (SPL) and phrenopericardial (PPL). They were investigated by means of scanning electron microscopy, light microscopy and transmission electron microscopy. RESULTS All the samples showed dense and wavy collagen bundles without vascularisation from both the epicardium and the parietal pericardium. The AUR and the ATR were 150±25μm thick whereas the SPL and the PPL were thinner at 120±20μm. The surface of the epicardium was smooth and glistening. The filaments of collagen were well individualized without any aggregation, but the banding was poorly defined and somewhat blurry. CONCLUSION This detailed morphological analysis of the kangaroo pericardium illustrated a surface resistant to thrombosis and physical characteristics resistant to fatigue. The morphological characteristics of the kangaroo pericardium indicate that it represents an outstanding alternative to the current sources e.g., bovine and porcine. However, procurement of tissues from the wild raises supply and sanitary issues. Health concerns based upon sanitary uncertainty and reliability of supply of wild animals remain real problems.
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Affiliation(s)
- S Meng
- Chongqing Key Lab of Catalysis and Functional Organic Molecules; College of Environment and Biotechnology, Chongqing Technology and Business University, Chongqing, PR China
| | - J Mao
- Axe Médecine Régénératrice, Centre de Recherche du CHU and Département de Chirurgie, Faculté de Médecine, Université Laval, Québec Canada
| | - E N Rouse
- Department of Comparative Medicine, College of Veterinary of Tennessee, Knoxville, TN, USA
| | - G Le-Bel
- Axe Médecine Régénératrice, Centre de Recherche du CHU and Département de Chirurgie, Faculté de Médecine, Université Laval, Québec Canada
| | - J M Bourget
- Axe Médecine Régénératrice, Centre de Recherche du CHU and Département de Chirurgie, Faculté de Médecine, Université Laval, Québec Canada
| | - R R Reed
- Department of Comparative Medicine, College of Veterinary of Tennessee, Knoxville, TN, USA
| | - E Philippe
- Axe Médecine Régénératrice, Centre de Recherche du CHU and Département de Chirurgie, Faculté de Médecine, Université Laval, Québec Canada
| | - D How
- Peninsula College of Medicine and Dentistry (PCMD), Plymouth, Devon, UK
| | - Z Zhang
- Axe Médecine Régénératrice, Centre de Recherche du CHU and Département de Chirurgie, Faculté de Médecine, Université Laval, Québec Canada
| | - L Germain
- Axe Médecine Régénératrice, Centre de Recherche du CHU and Département de Chirurgie, Faculté de Médecine, Université Laval, Québec Canada
| | - R Guidoin
- Axe Médecine Régénératrice, Centre de Recherche du CHU and Département de Chirurgie, Faculté de Médecine, Université Laval, Québec Canada.
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23
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Komez A, Buyuksungur S, Hasirci V, Hasirci N. Effect of chemical structure on properties of polyurethanes: Temperature responsiveness and biocompatibility. J BIOACT COMPAT POL 2018. [DOI: 10.1177/0883911518783233] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Polyurethanes are known as one of the most biocompatible and inherently blood-compatible materials and have a wide range of applications in the medical field due to their controllable structure and properties. Durability, elasticity, elastomeric structure, fatigue resistance, versatility, and easy acceptance by the biological media after the application makes these polymers preferable in medical area. In this study, polyurethane films were prepared using poly(propylene-ethylene glycol) and either toluene-2,4-diisocyanate or 4,4′-methylenediphenyl diisocyanate without adding any other ingredients such as solvent, catalyst, or chain extender to prevent negative effects of leachable molecules. Mechanical tests were performed at room temperature while swelling tests were conducted in water and phosphate-buffered saline at 4°C, 25°C, and 37°C. Temperature responsiveness was observed for the samples synthesized using toluene-2,4-diisocyanate and poly(propylene-ethylene glycol). These samples had more than 100% swelling at 4°C and about 4% swelling at 25°C and 37°C. Cytocompatibility tests were performed by culturing the samples and their extracts with mouse fibroblast cells (L929). Viability of human umbilical vein endothelial cells was studied to examine the compatibility of the films for blood contacting devices. Both toluene-2,4-diisocyanate and 4,4-methylenediphenyl diisocyanate–based polyurethane films showed no cytotoxic effect and good biocompatibility. Oxygen plasma treatment enhanced hydrophilicity of the films. After plasma treatment, human umbilical vein endothelial cell attachment on toluene-2,4-diisocyanate–based polyurethane films improved and 4,4-methylenediphenyl diisocyanate–based polyurethane films maintained their high cell affinity. Polyurethanes presenting temperature responsiveness, high biocompatibility, and high affinity for human umbilical vein endothelial cells were synthesized in medical purity and in a reaction media involving only diisocyanate and diol components without addition of any solvent, chain extender, or catalyst. Polyurethanes with these properties and as produced in this study are reported for the first time in the literature.
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Affiliation(s)
- Aylin Komez
- BIOMATEN, Center of Excellence in Biomaterials and Tissue Engineering, Middle East Technical University (METU), Ankara, Turkey
- Graduate Department of Biotechnology, Middle East Technical University (METU), Ankara, Turkey
| | - Senem Buyuksungur
- BIOMATEN, Center of Excellence in Biomaterials and Tissue Engineering, Middle East Technical University (METU), Ankara, Turkey
- Graduate Department of Biotechnology, Middle East Technical University (METU), Ankara, Turkey
| | - Vasif Hasirci
- BIOMATEN, Center of Excellence in Biomaterials and Tissue Engineering, Middle East Technical University (METU), Ankara, Turkey
- Graduate Department of Biotechnology, Middle East Technical University (METU), Ankara, Turkey
- Department of Biological Sciences, Middle East Technical University (METU), Ankara, Turkey
| | - Nesrin Hasirci
- BIOMATEN, Center of Excellence in Biomaterials and Tissue Engineering, Middle East Technical University (METU), Ankara, Turkey
- Graduate Department of Biotechnology, Middle East Technical University (METU), Ankara, Turkey
- Department of Chemistry, Middle East Technical University (METU), Ankara, Turkey
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Lui YF, Ip WY. Biological Evaluation of Flexible Polyurethane/Poly l-Lactic Acid Composite Scaffold as a Potential Filler for Bone Regeneration. MATERIALS 2017; 10:ma10091042. [PMID: 28902161 PMCID: PMC5615697 DOI: 10.3390/ma10091042] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Revised: 08/19/2017] [Accepted: 08/31/2017] [Indexed: 12/28/2022]
Abstract
Degradable bone graft substitute for large-volume bone defects is a continuously developing field in orthopedics. With the advance in biomaterial in past decades, a wide range of new materials has been investigated for their potential in this application. When compared to common biopolymers within the field such as PLA or PCL, elastomers such as polyurethane offer some unique advantages in terms of flexibility. In cases of bone defect treatments, a flexible soft filler can help to establish an intimate contact with surrounding bones to provide a stable bone-material interface for cell proliferation and ingrowth of tissue. In this study, a porous filler based on segmented polyurethane incorporated with poly l-lactic acid was synthesized by a phase inverse salt leaching method. The filler was put through in vitro and in vivo tests to evaluate its potential in acting as a bone graft substitute for critical-sized bone defects. In vitro results indicated there was a major improvement in biological response, including cell attachment, proliferation and alkaline phosphatase expression for osteoblast-like cells when seeded on the composite material compared to unmodified polyurethane. In vivo evaluation on a critical-sized defect model of New Zealand White (NZW) rabbit indicated there was bone ingrowth along the defect area with the introduction of the new filler. A tight interface formed between bone and filler, with osteogenic cells proliferating on the surface. The result suggested polyurethane/poly l-lactic acid composite is a material with the potential to act as a bone graft substitute for orthopedics application.
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Affiliation(s)
- Yuk Fai Lui
- Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong, China.
| | - Wing Yuk Ip
- Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong, China.
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Falahatpisheh A, Morisawa D, Toosky TT, Kheradvar A. A calcified polymeric valve for valve-in-valve applications. J Biomech 2017; 50:77-82. [PMID: 27887725 DOI: 10.1016/j.jbiomech.2016.11.027] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2016] [Accepted: 11/05/2016] [Indexed: 11/16/2022]
Abstract
The prevalence of aortic valve stenosis (AS) is increasing in the aging society. More recently, novel treatments and devices for AS, especially transcatheter aortic valve replacement (TAVR) have significantly changed the therapeutic approach to this disease. Research and development related to TAVR require testing these devices in the calcified heart valves that closely mimic a native calcific valve. However, no animal model of AS has yet been available. Alternatively, animals with normal aortic valve that are currently used for TAVR experiments do not closely replicate the aortic valve pathology required for proper testing of these devices. To solve this limitation, for the first time, we developed a novel polymeric valve whose leaflets possess calcium hydroxyapatite inclusions immersed in them. This study reports the characteristics and feasibility of these valves. Two types of the polymeric valve, i.e., moderate and severe calcified AS models were developed and tested by deploying a transcatheter valve in those and measuring the related hemodynamics. The valves were tested in a heart flow simulator, and were studied using echocardiography. Our results showed high echogenicity of the polymeric valve, that was correlated to the severity of the calcification. Aortic valve area of the polymeric valves was measured, and the severity of stenosis was defined according to the clinical guidelines. Accordingly, we showed that these novel polymeric valves closely mimic AS, and can be a desired cost-saving solution for testing the performance of the transcatheter aortic valve systems in vitro.
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Affiliation(s)
- Ahmad Falahatpisheh
- The Edwards Lifesciences Center for Advanced Cardiovascular Technology, University of California Irvine, Irvine, CA 92697, USA
| | - Daisuke Morisawa
- The Edwards Lifesciences Center for Advanced Cardiovascular Technology, University of California Irvine, Irvine, CA 92697, USA
| | - Taraz T Toosky
- Toosky Engineering Models Inc., 2650 Walnut Ave # N, Tustin, CA 92780, USA
| | - Arash Kheradvar
- The Edwards Lifesciences Center for Advanced Cardiovascular Technology, University of California Irvine, Irvine, CA 92697, USA.
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Rahmani B, Tzamtzis S, Sheridan R, Mullen MJ, Yap J, Seifalian AM, Burriesci G. In Vitro Hydrodynamic Assessment of a New Transcatheter Heart Valve Concept (the TRISKELE). J Cardiovasc Transl Res 2016; 10:104-115. [PMID: 28028692 PMCID: PMC5437138 DOI: 10.1007/s12265-016-9722-0] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Accepted: 11/21/2016] [Indexed: 11/01/2022]
Abstract
This study presents the in vitro hydrodynamic assessment of the TRISKELE, a new system suitable for transcatheter aortic valve implantation (TAVI), aiming to mitigate the procedural challenges experienced with current technologies. The TRISKELE valve comprises three polymeric leaflet and an adaptive sealing cuff, supported by a novel fully retrievable self-expanding nitinol wire frame. Valve prototypes were manufactured in three sizes of 23, 26, and 29 mm by automated dip-coating of a biostable polymer, and tested in a hydrodynamic bench setup in mock aortic roots of 21, 23, 25, and 27 mm annulus, and compared to two reference valves suitable for equivalent implantation ranges: Edwards SAPIEN XT and Medtronic CoreValve. The TRISKELE valves demonstrated a global hydrodynamic performance comparable or superior to the controls with significant reduction in paravalvular leakage. The TRISKELE valve exhibits enhanced anchoring and improved sealing. The valve is currently under preclinical investigation.
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Affiliation(s)
- Benyamin Rahmani
- Cardiovascular Engineering Laboratory, UCL Mechanical Engineering, University College London, Torrington Place, London, WC1E 7JE, UK
| | - Spyros Tzamtzis
- Cardiovascular Engineering Laboratory, UCL Mechanical Engineering, University College London, Torrington Place, London, WC1E 7JE, UK
| | - Rose Sheridan
- Cardiovascular Engineering Laboratory, UCL Mechanical Engineering, University College London, Torrington Place, London, WC1E 7JE, UK
| | - Michael J Mullen
- Barts Health NHS Trust, University College London Hospital, London, UK
| | - John Yap
- Barts Health NHS Trust, University College London Hospital, London, UK
| | | | - Gaetano Burriesci
- Cardiovascular Engineering Laboratory, UCL Mechanical Engineering, University College London, Torrington Place, London, WC1E 7JE, UK. .,Ri.MED Foundation, Bioengineering Group, Palermo, Italy.
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Zulkifli NNB, Badri KBH, Amin KAM. Palm kernel oil-based polyester polyurethane composites incorporated with multi-walled carbon nanotubes for biomedical application. BIORESOUR BIOPROCESS 2016. [DOI: 10.1186/s40643-016-0102-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Akhyari P. Kardiovaskuläres Tissue-Engineering. ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE 2016. [DOI: 10.1007/s00398-015-0035-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Sheriff J, Claiborne TE, Tran PL, Kothadia R, George S, Kato YP, Pinchuk L, Slepian MJ, Bluestein D. Physical Characterization and Platelet Interactions under Shear Flows of a Novel Thermoset Polyisobutylene-based Co-polymer. ACS APPLIED MATERIALS & INTERFACES 2015; 7:22058-22066. [PMID: 26398588 PMCID: PMC4608843 DOI: 10.1021/acsami.5b07254] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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.
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Affiliation(s)
- Jawaad Sheriff
- Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY 11794-8151, USA
| | - Thomas E. Claiborne
- Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY 11794-8151, USA
| | - Phat L. Tran
- Department of Biomedical Engineering, University of Arizona, Tucson, AZ 85721, USA
| | - Roshni Kothadia
- Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY 11794-8151, USA
| | - Sheela George
- Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY 11794-8151, USA
| | | | | | - Marvin J. Slepian
- Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY 11794-8151, USA
- Department of Biomedical Engineering, University of Arizona, Tucson, AZ 85721, USA
- Sarver Heart Center, University of Arizona, Tucson, AZ 85721, USA
| | - Danny Bluestein
- Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY 11794-8151, USA
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Gester K, Birtel S, Clauser J, Steinseifer U, Sonntag SJ. Real-Time Visualization of Platelet Interaction With Micro Structured Surfaces. Artif Organs 2015; 40:201-7. [DOI: 10.1111/aor.12516] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Kathrin Gester
- Department of Cardiovascular Engineering; Institute of Applied Medical Engineering-Helmholtz Institute-RWTH Aachen University; Aachen Germany
| | - Stephan Birtel
- Department of Cardiovascular Engineering; Institute of Applied Medical Engineering-Helmholtz Institute-RWTH Aachen University; Aachen Germany
| | - Johanna Clauser
- Department of Cardiovascular Engineering; Institute of Applied Medical Engineering-Helmholtz Institute-RWTH Aachen University; Aachen Germany
| | - Ulrich Steinseifer
- Department of Cardiovascular Engineering; Institute of Applied Medical Engineering-Helmholtz Institute-RWTH Aachen University; Aachen Germany
| | - Simon Johannes Sonntag
- Department of Cardiovascular Engineering; Institute of Applied Medical Engineering-Helmholtz Institute-RWTH Aachen University; Aachen Germany
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Abstract
Introduction In this paper we propose a novel method for developing a polymeric heart valve that could potentially offer an optimum solution for a heart valve substitute. The valve design proposed will provide superior hydrodynamic performance and excellent structural integrity. A full description of the design process is given together with an analysis of the hemodynamic performance using a 2-way strongly coupled Fluid Structure Interaction (FSI). Method A polymeric tri-leaflet heart valve is designed based on a patient's sinus of Valsalva (SOV) geometry. The design strategy aims to improve valve hemodynamic performance as well as valve durability by avoiding stress concentrations in the leaflets and reducing the maximum stress level. The valve dynamics and stress levels are also validated by comparing the predicted data to existing experimental and numerical data. Results The stress distribution in the valve structure is fully characterized throughout the simulation and Von Mises stress is found to be up to 5.32 Mpa during diastole. The results show that an effective orifice area (EOA) and a pressure drop of 3.22 cm^2, and 3.52 mmHg, respectively, can be achieved using the proposed design. Conclusions The optimized valve demonstrates high hemodynamic performance with no sign of damaging stress concentration in the entire cardiac cycle.
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Lu W, Wang X, Cheng R, Deng C, Meng F, Zhong Z. Biocompatible and bioreducible micelles fabricated from novel α-amino acid-based poly(disulfide urethane)s: design, synthesis and triggered doxorubicin release. Polym Chem 2015. [DOI: 10.1039/c5py00828j] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Novel α-amino acid-based poly(disulfide urethane)s have been developed for the construction of smart triblock copolymer micelles that show good biocompatibility, fast reductive degradation, and triggered intracellular drug release behavior.
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Affiliation(s)
- Wentao Lu
- Biomedical Polymers Laboratory
- and Jiangsu Key Laboratory of Advanced Functional Polymer Design and Application
- College of Chemistry
- Chemical Engineering and Materials Science
- Soochow University
| | - Xiuxiu Wang
- Biomedical Polymers Laboratory
- and Jiangsu Key Laboratory of Advanced Functional Polymer Design and Application
- College of Chemistry
- Chemical Engineering and Materials Science
- Soochow University
| | - Ru Cheng
- Biomedical Polymers Laboratory
- and Jiangsu Key Laboratory of Advanced Functional Polymer Design and Application
- College of Chemistry
- Chemical Engineering and Materials Science
- Soochow University
| | - Chao Deng
- Biomedical Polymers Laboratory
- and Jiangsu Key Laboratory of Advanced Functional Polymer Design and Application
- College of Chemistry
- Chemical Engineering and Materials Science
- Soochow University
| | - Fenghua Meng
- Biomedical Polymers Laboratory
- and Jiangsu Key Laboratory of Advanced Functional Polymer Design and Application
- College of Chemistry
- Chemical Engineering and Materials Science
- Soochow University
| | - Zhiyuan Zhong
- Biomedical Polymers Laboratory
- and Jiangsu Key Laboratory of Advanced Functional Polymer Design and Application
- College of Chemistry
- Chemical Engineering and Materials Science
- Soochow University
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33
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Polymeric heart valves for surgical implantation, catheter-based technologies and heart assist devices. Biomaterials 2015; 36:6-25. [DOI: 10.1016/j.biomaterials.2014.09.013] [Citation(s) in RCA: 107] [Impact Index Per Article: 11.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2014] [Accepted: 09/12/2014] [Indexed: 11/18/2022]
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Špírková M, Machová L, Kobera L, Brus J, Poręba R, Serkis M, Zhigunov A. Multiscale approach to the morphology, structure, and segmental dynamics of complex degradable aliphatic polyurethanes. J Appl Polym Sci 2014. [DOI: 10.1002/app.41590] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Affiliation(s)
- Milena Špírková
- Institute of Macromolecular Chemistry AS CR; v.v.i., Heyrovského nám. 2, 162 06 Praha 6 Czech Republic
| | - Luďka Machová
- Institute of Macromolecular Chemistry AS CR; v.v.i., Heyrovského nám. 2, 162 06 Praha 6 Czech Republic
| | - Libor Kobera
- Institute of Macromolecular Chemistry AS CR; v.v.i., Heyrovského nám. 2, 162 06 Praha 6 Czech Republic
| | - Jiří Brus
- Institute of Macromolecular Chemistry AS CR; v.v.i., Heyrovského nám. 2, 162 06 Praha 6 Czech Republic
| | - Rafał Poręba
- Institute of Macromolecular Chemistry AS CR; v.v.i., Heyrovského nám. 2, 162 06 Praha 6 Czech Republic
| | - Magdalena Serkis
- Institute of Macromolecular Chemistry AS CR; v.v.i., Heyrovského nám. 2, 162 06 Praha 6 Czech Republic
| | - Alexander Zhigunov
- Institute of Macromolecular Chemistry AS CR; v.v.i., Heyrovského nám. 2, 162 06 Praha 6 Czech Republic
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Formation of Nanocones on Highly Oriented Pyrolytic Graphite by Oxygen Plasma. MATERIALS 2014; 7:2014-2029. [PMID: 28788553 PMCID: PMC5453248 DOI: 10.3390/ma7032014] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/14/2014] [Revised: 02/28/2014] [Accepted: 03/03/2014] [Indexed: 11/17/2022]
Abstract
Improvement in hemocompatibility of highly oriented pyrolytic graphite (HOPG) by formation of nanostructured surface by oxygen plasma treatment is reported. We have showed that by appropriate fine tuning of plasma and discharge parameters we are able to create nanostructured surface which is densely covered with nanocones. The size of the nanocones strongly depended on treatment time. The optimal results in terms of material hemocompatibility were obtained after treatment with oxygen plasma for 15 s, when both the nanotopography and wettability were the most favorable, since marked reduction in adhesion and activation of platelets was observed on this surface. At prolonged treatment times, the rich surface topography was lost and thus also its antithrombogenic properties. Chemical composition of the surface was always more or less the same, regardless of its morphology and height of the nanocones. Namely, on all plasma treated samples, only a few atomic percent of oxygen was found, meaning that plasma caused mostly etching, leading to changes in the surface morphology. This indicates that the main preventing mechanism against platelets adhesion was the right surface morphology.
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Clauser J, Gester K, Roggenkamp J, Mager I, Maas J, Jansen SV, Steinseifer U. Micro-structuring of polycarbonate-urethane surfaces in order to reduce platelet activation and adhesion. JOURNAL OF BIOMATERIALS SCIENCE-POLYMER EDITION 2014; 25:504-18. [DOI: 10.1080/09205063.2013.879561] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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A facile preparation of poly(ethylene oxide)-modified medical polyurethane to improve hemocompatibility. Colloids Surf A Physicochem Eng Asp 2014. [DOI: 10.1016/j.colsurfa.2013.08.070] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Alves P, Cardoso R, Correia T, Antunes B, Correia I, Ferreira P. Surface modification of polyurethane films by plasma and ultraviolet light to improve haemocompatibility for artificial heart valves. Colloids Surf B Biointerfaces 2014; 113:25-32. [DOI: 10.1016/j.colsurfb.2013.08.039] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2013] [Revised: 08/20/2013] [Accepted: 08/22/2013] [Indexed: 12/27/2022]
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Claiborne TE, Slepian MJ, Hossainy S, Bluestein D. Polymeric trileaflet prosthetic heart valves: evolution and path to clinical reality. Expert Rev Med Devices 2013; 9:577-94. [PMID: 23249154 DOI: 10.1586/erd.12.51] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Present prosthetic heart valves, while hemodynamically effective, remain limited by progressive structural deterioration of tissue valves or the burden of chronic anticoagulation for mechanical valves. An idealized valve prosthesis would eliminate these limitations. Polymeric heart valves (PHVs), fabricated from advanced polymeric materials, offer the potential of durability and hemocompatibility. Unfortunately, the clinical realization of PHVs to date has been hampered by findings of in vivo calcification, degradation and thrombosis. Here, the authors review the evolution of PHVs, evaluate the state of the art of this technology and propose a pathway towards clinical reality. In particular, the authors discuss the development of a novel aortic PHV that may be deployed via transcatheter implantation, as well as its optimization via device thrombogenicity emulation.
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Affiliation(s)
- Thomas E Claiborne
- Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY, USA
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40
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Claiborne TE, Sheriff J, Kuetting M, Steinseifer U, Slepian MJ, Bluestein D. In vitro evaluation of a novel hemodynamically optimized trileaflet polymeric prosthetic heart valve. J Biomech Eng 2013; 135:021021. [PMID: 23445066 DOI: 10.1115/1.4023235] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Calcific aortic valve disease is the most common and life threatening form of valvular heart disease, characterized by stenosis and regurgitation, which is currently treated at the symptomatic end-stages via open-heart surgical replacement of the diseased valve with, typically, either a xenograft tissue valve or a pyrolytic carbon mechanical heart valve. These options offer the clinician a choice between structural valve deterioration and chronic anticoagulant therapy, respectively, effectively replacing one disease with another. Polymeric prosthetic heart valves (PHV) offer the promise of reducing or eliminating these complications, and they may be better suited for the new transcatheter aortic valve replacement (TAVR) procedure, which currently utilizes tissue valves. New evidence indicates that the latter may incur damage during implantation. Polymer PHVs may also be incorporated into pulsatile circulatory support devices such as total artificial heart and ventricular assist devices that currently employ mechanical PHVs. Development of polymer PHVs, however, has been slow due to the lack of sufficiently durable and biocompatible polymers. We have designed a new trileaflet polymer PHV for surgical implantation employing a novel polymer-xSIBS-that offers superior bio-stability and durability. The design of this polymer PHV was optimized for reduced stresses, improved hemodynamic performance, and reduced thrombogenicity using our device thrombogenicity emulation (DTE) methodology, the results of which have been published separately. Here we present our new design, prototype fabrication methods, hydrodynamics performance testing, and platelet activation measurements performed in the optimized valve prototype and compare it to the performance of a gold standard tissue valve. The hydrodynamic performance of the two valves was comparable in all measures, with a certain advantage to our valve during regurgitation. There was no significant difference between the platelet activation rates of our polymer valve and the tissue valve, indicating that similar to the latter, its recipients may not require anticoagulation. This work proves the feasibility of our optimized polymer PHV design and brings polymeric valves closer to clinical viability.
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Affiliation(s)
- Thomas E Claiborne
- Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY 11794, USA
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Boloori_Zadeh P, Corbett SC, Nayeb-Hashemi H. Effects of fluid flow shear rate and surface roughness on the calcification of polymeric heart valve leaflet. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2013; 33:2770-5. [DOI: 10.1016/j.msec.2013.02.042] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2012] [Revised: 02/01/2013] [Accepted: 02/23/2013] [Indexed: 10/27/2022]
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Lam MT, Wu JC. Biomaterial applications in cardiovascular tissue repair and regeneration. Expert Rev Cardiovasc Ther 2013; 10:1039-49. [PMID: 23030293 DOI: 10.1586/erc.12.99] [Citation(s) in RCA: 123] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Cardiovascular disease physically damages the heart, resulting in loss of cardiac function. Medications can help alleviate symptoms, but it is more beneficial to treat the root cause by repairing injured tissues, which gives patients better outcomes. Besides heart transplants, cardiac surgeons use a variety of methods for repairing different areas of the heart such as the ventricular septal wall and valves. A multitude of biomaterials are used in the repair and replacement of impaired heart tissues. These biomaterials fall into two main categories: synthetic and natural. Synthetic materials used in cardiovascular applications include polymers and metals. Natural materials are derived from biological sources such as human donor or harvested animal tissues. A new class of composite materials has emerged to take advantage of the benefits of the strengths and minimize the weaknesses of both synthetic and natural materials. This article reviews the current and prospective applications of biomaterials in cardiovascular therapies.
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Affiliation(s)
- Mai T Lam
- Department of Surgery, Division of Plastic and Reconstructive Surgery, Hagey Pediatric Regenerative Research Laboratory, Stanford University School of Medicine, Stanford, CA, USA
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Flexible Leaflet Polymeric Heart Valves. CARDIOVASCULAR AND CARDIAC THERAPEUTIC DEVICES 2013. [DOI: 10.1007/8415_2013_166] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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