在大动脉位置的汉考克修改的孔生物假体的血液动力学评估
F H Levin1, M J Buckley, W G Austen
1Surgical Service, Massachusetts General Hospital Boston, Massachusetts 02114, USA.
Circulation
|September 1, 1978
概括
一种新的修饰孔 (MO) 异种移植假体通过增加孔面积来改善大动脉功能. 临床结果显示,患者的血液动力学性能和安全性非常出色,特别是那些有小主动脉环的人.
科学领域:
- 心血管外科心血管外科
- 生物材料科学 生物材料科学
- 假体门的设计
背景情况:
- 猪外来移植通常在主动脉位置表现出低于最佳的血液动力功能,特别是在较小的门尺寸中.
- 有效孔面积的限制限制了标准生物假体门的性能.
研究的目的:
- 引入和评估一种旨在提高血液动力学性能的新型修饰孔 (MO) 异种移植假体.
- 评估MO门在需要大动脉门置换的患者的安全性和有效性.
主要方法:
- 该MO假肢的特点是切割的肌肉叶片被非肌肉叶片取代,有效的内部孔面积增加了25-35%.
- 在体外液压研究中,将MO性能与标准猪和低度金属假肢进行了比较.
- 在26名患者中植入了MO门,随访时间从1到10个月不等.
主要成果:
- 在体外研究表明,MO门的液压性能优于标准猪假肢.
- 在体内,26名患者没有观察到假肢功能障碍或血栓栓塞事件.
- 与标准假肢相比,MO假肢的手术内峰值缩梯度明显较低 (例如,6.6毫米为21毫米),而标准假肢 (例如,14.0毫米为23毫米).
结论:
- 经过修改的孔异体移植假体比标准猪提供了显著的液压改进.
- 在临床使用中,MO显示出出色的血液动力学性能和有利的安全性.
- 这种生物假体适用于有小主动脉环形患者,解决了门置换治疗的关键未满足需求.
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