Key result
Seamless prototype valve cuts in vitro implantation time ~73% versus classical suturing.
Why the study?
Does a prototype seamless fixation biological prosthetic valve reduce implantation time and provide reliable fixation compared to classical suture implantation in an in vitro bovine heart model?
Does a prototype seamless fixation biological prosthetic valve reduce implantation time and provide reliable fixation compared to classical suture implantation in an in vitro bovine heart model?
Absolute Event Rate: 3% vs 11%
A prototype seamless biological prosthetic valve demonstrated rapid implantation and reliable fixation in an in vitro model, suggesting potential for valve-in-valve re-operations.
Hypothesis-generating for seamless valve reoperations; in vivo studies needed before clinical translation.
Aim: to evaluate the manipulative properties of the system being developed for cardiac valve re-operation on an in vitro bovine heart model. Material and methods. The prototype of the prosthesis being developed, mounted on the implant holder, as well as the dilatation balloon of its own design, were used as the objects of the study. The bioprosthesis «UniLine» of 21 mm size for the aortic position was chosen as the target site of implantation, which was established by the «classical» suture method. After that, the implantation of the tested device was carried out as a «valve in valve» and the quality of the installation and the combined operation of all the components of the re-prosthesis system were evaluated. Results. The test implantation demonstrated the consistency of the proposed method on the basis of balloon seamless fi xation, as well as high ergonomic characteristics: the average time of seamless implantation of the developed prototype on an in vitro animal heart model was 3 minutes versus the implantation of the «UniLine» bioprosthesis – 11 min, Implantation provided a reliable prosthesis The breaking force was 12.9 N, which is equivalent to a pressure of 279 mm Hg.
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Klyshnikov et al. (2018) studied Cardiac valve re-operation. Prototype biological prosthetic valve for seamless fixation vs. «UniLine» bioprosthesis (classical suture method) was evaluated on Implantation time. Seamless implantation of the developed prototype on an in vitro animal heart model averaged 3 minutes versus 11 minutes for the classical suture method, providing a breaking force of 12.9 N.
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