Geometric adaption of biodegradable magnesium alloy scaffolds to stabilise biological myocardial grafts. Part I

作者: M. Bauer , T. Schilling , M. Weidling , D. Hartung , Ch. Biskup

DOI: 10.1007/S10856-013-5100-5

关键词:

摘要: Synthetic patch materials currently in use have major limitations, such as high susceptibility to infections and lack of contractility. Biological grafts are a novel approach overcome these but do not always offer sufficient mechanical durability early stages after implantation. Therefore, stabilising structure based on resorbable magnesium alloys could support the biological graft until its physiologic remodelling. To prevent breakage vivo due stress non-determined forming, scaffolds should be preformed according geometry targeted myocardial region. Thus, left ventricular 28 patients was assessed via standard cardiac magnetic resonance imaging (MRI). The resulting data served basis for finite element simulation (FEM). Calculated stresses strains flat were evaluated. Afterwards, structures manufactured by abrasive waterjet cutting MRI data. Finally, compared an vitro test rig. FEM predicted higher scaffolds, which proven test. In conclusion, provide extended will facilitate more widespread regenerative surgical reconstruction.

参考文章(26)
T. Schilling, S. Cebotari, I. Tudorache, A. Haverich, Tissue Engineering von vaskularisiertem Myokardersatzgewebe Chirurg. ,vol. 82, pp. 319- 324 ,(2011) , 10.1007/S00104-010-2032-1
John Naughton, Robert S Miletich, Syde A Taheri, Qiang Zhao, Hasmat Ashraf, Sateesh Satchidanand, Chetan Malik, Michael Merhige, Myoangiogenesis after cell patch cardiomyoplasty and omentopexy in a patient with ischemic cardiomyopathy. Texas Heart Institute Journal. ,vol. 32, pp. 598- 601 ,(2005)
Hiroshi Watanabe, Seiryo Sugiura, Hidenobu Kafuku, Toshiaki Hisada, Multiphysics simulation of left ventricular filling dynamics using fluid-structure interaction finite element method. Biophysical Journal. ,vol. 87, pp. 2074- 2085 ,(2004) , 10.1529/BIOPHYSJ.103.035840
Stephen F. Badylak, Paul V. Kochupura, Ira S. Cohen, Sergey V. Doronin, Adam E. Saltman, Thomas W. Gilbert, Damon J. Kelly, Ronald A. Ignotz, Glenn R. Gaudette, The use of extracellular matrix as an inductive scaffold for the partial replacement of functional myocardium. Cell Transplantation. ,vol. 15, pp. 29- 40 ,(2006) , 10.3727/000000006783982368
J.A. Grogan, S.B. Leen, P.E. McHugh, Comparing coronary stent material performance on a common geometric platform through simulated bench testing. Journal of The Mechanical Behavior of Biomedical Materials. ,vol. 12, pp. 129- 138 ,(2012) , 10.1016/J.JMBBM.2012.02.013
A. U. Daniels, Melissa K. O. Chang, Kirk P. Andriano, Jorge Heller, Mechanical properties of biodegradable polymers and composites proposed for internal fixation of bone Journal of Applied Biomaterials. ,vol. 1, pp. 57- 78 ,(1990) , 10.1002/JAB.770010109
Tobias Schilling, Gudrun Brandes, Igor Tudorache, Serghei Cebotari, Andres Hilfiker, Tanja Meyer, Christian Biskup, Michael Bauer, Karl-Heinz Waldmann, Friedrich-Wilhelm Bach, Axel Haverich, Thomas Hassel, In vivo degradation of magnesium alloy LA63 scaffolds for temporary stabilization of biological myocardial grafts in a swine model. Biomedizinische Technik. ,vol. 58, pp. 407- 416 ,(2013) , 10.1515/BMT-2012-0047
Frank Witte, Jens Fischer, Jens Nellesen, Horst-Artur Crostack, Volker Kaese, Alexander Pisch, Felix Beckmann, Henning Windhagen, In vitro and in vivo corrosion measurements of magnesium alloys. Biomaterials. ,vol. 27, pp. 1013- 1018 ,(2006) , 10.1016/J.BIOMATERIALS.2005.07.037
Nicholas T. Kirkland, Jay Waterman, Nick Birbilis, George Dias, Tim B. F. Woodfield, Richard M. Hartshorn, Mark P. Staiger, Buffer-regulated biocorrosion of pure magnesium Journal of Materials Science: Materials in Medicine. ,vol. 23, pp. 283- 291 ,(2012) , 10.1007/S10856-011-4517-Y
V. Dor, M. Saab, P. Coste, M. Kornaszewska, F. Montiglio, Left ventricular aneurysm: a new surgical approach. Thoracic and Cardiovascular Surgeon. ,vol. 37, pp. 11- 19 ,(1989) , 10.1055/S-2007-1013899