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November 1, 1993Journal of Biomedical Engineering

Comparative study of the function of the Abiomed polyurethane heart valve for use in left ventricular assist devices

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Why the study?

Does the Abiomed polyurethane trileaflet valve have comparable hydrodynamic performance to tissue and mechanical valves in an in vitro model?

Population

In vitro hydrodynamic testing model evaluating 4 heart valves (size 27 mm)

Comparison

Abiomed polyurethane trileaflet valve (size 27 mm) vs Medtronic Hall tilting disk, Carbomedics…

Design

Preclinical

Authors

MLM.E. LeatUniversity of LeedsJFJohn FisherBuffalo State University

Discussion

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Implication

The Abiomed valve's poorer opening characteristics warrant caution in synthetic valve development; leaves open whether design refinements can achieve parity with tissue or mechanical valves.

Structured PICO

Does the Abiomed polyurethane trileaflet valve have comparable hydrodynamic performance to tissue and mechanical valves in an in vitro model?

P
Population
In vitro hydrodynamic testing model evaluating 4 heart valves (size 27 mm)
I
Intervention
Abiomed polyurethane trileaflet valve (size 27 mm)
C
Comparator
Medtronic Hall tilting disk, Carbomedics bileaflet, and Hancock II bioprosthesis (all size 27 mm)
O
Outcome
Hydrodynamic performance (variation of pressure difference with RMS pulsatile flow and steady flow, and effective orifice area)surrogate

The Abiomed polyurethane trileaflet valve demonstrated significantly poorer opening characteristics compared to standard tissue and mechanical valves in hydrodynamic testing, highlighting design challenges for synthetic trileaflet valves.

Cite This Study

Leat et al. (1993) studied this question.

synapsesocial.com/papers/6a7ea0380652253f66c2fdfchttps://doi.org/10.1016/0141-5425(93)90068-a

Topics

Mechanical circulatory support
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1In-Vitro Fluid Dynamic Characteristics of the Abiomed Trileaflet Heart Valve Prosthesis1983 · 23 citations
  2. 2Steady and Pulsatile Flow Studies on a Trileaflet Heart Valve Prosthesis1983 · 9 citations
  3. 3In Vitro Function and Durability Assessment of a Novel Polyurethane Heart Valve Prosthesis1996 · 31 citations
  4. 4In Vitro Comparison of Velocity Profiles and Turbulent Shear Distal to Polyurethane Trileaflet and Pericardial Prosthetic Valves1989 · 27 citations
  5. 5Pulse duplicator hydrodynamics of four different bileaflet valves in the mitral position1997 · 13 citations