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Material properties of CorCap passive cardiac support device
Sam Chitsaz1, Jonathan F Wenk, Liang Ge
1Department of Surgery, University of California at San Francisco and San Francisco Veterans Affairs Medical Center, San Francisco, California, USA.
The Annals of Thoracic Surgery
|September 18, 2012
Summary
The CorCap cardiac support device exhibits directional mechanical properties, offering greater stiffness circumferentially than longitudinally. This anisotropy is crucial for optimizing ventricular restraint therapy in heart failure patients.
Area of Science:
- Biomedical Engineering
- Cardiovascular Mechanics
- Materials Science
Background:
- Congestive heart failure (HF) leads to myocardial dysfunction and ventricular remodeling.
- Ventricular restraint therapy with cardiac support devices (CSDs) aims to reduce ventricular stress and halt remodeling.
- The mechanical properties of CSDs, particularly their anisotropy, are not well understood.
Purpose of the Study:
- To investigate the mechanical properties of a specific CSD (CorCap) in different fiber orientations.
- To determine the stiffness of the CSD material along various axes relevant to cardiac implantation.
Main Methods:
- Composite specimens of CorCap fabric and silicone were created with varying fiber orientations.
- Biaxial testing was performed using a custom stretcher to assess stress-strain behavior.
- CSD coefficients and stiffness were calculated based on composite and silicone matrix data.
Main Results:
- Silicone matrix exhibited linear behavior with a stiffness of 2.57 MPa.
- CSD composites showed higher stiffness along the aligned fiber direction (14.39 MPa) compared to the cross-fiber direction (5.66 MPa).
- When oriented for clinical use, the CorCap demonstrated greater stiffness circumferentially (10.55 MPa) than longitudinally (9.70 MPa).
Conclusions:
- The CorCap exhibits significant mechanical anisotropy, with greater stiffness in the circumferential direction.
- Understanding and accounting for this directional biomechanical property is essential for optimizing the clinical application of the CorCap for ventricular restraint.
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