Why the study?
Existing tilt-disc and bicuspid heart valves lack optimized blood flow due to rigid pyrolytic carbon leaflets, driving the need to minimize thromboembolism risk using biomimetic valves based on metal-polymer composites.
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Amorphous hydrogenated carbon coatings improve the hemocompatibility of flexible heart valve materials, potentially reducing thromboembolic risk in cardiac assist devices.
The aim of this study was to minimize the risk of life-threatening thromboembolism in the ventricle through the use of a new biomimetic heart valve based on metal-polymer composites. Finite volume element simulations of blood adhesion to the material were carried out, encompassing radial flow and the cone and plane test together with determination of the effect of boundary conditions. Both tilt-disc and bicuspid valves do not have optimized blood flow due to their design based on rigid valve materials (leaflet made of pyrolytic carbon). The main objective was the development of materials with specific properties dedicated to contact with blood. Materials were evaluated by dynamic tests using blood, concentrates, and whole human blood. Hemostability tests under hydrodynamic conditions were related to the mechanical properties of thin-film materials obtained from tribological tests. The quality of the coatings was high enough to avoid damage to the coating even as they were exposed up to maximum loading. Analysis towards blood concentrates of the hydrogenated carbon sample and the nitrogen-doped hydrogenated carbon sample revealed that the interaction of the coating with erythrocytes was the strongest. Hemocompatibility evaluation under hydrodynamic conditions confirmed very good properties of the developed coatings.
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Major et al. (2022) studied Thromboembolism prevention in biomimetic heart valves. Thin-film carbon coatings (a-C:H, a-C:H:N) vs. Polyurethane (clinical standard) and uncoated substrates was evaluated on Hemocompatibility (platelet activation, aggregation, and cell adhesion under flow).
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