4.5 Article

Mechanical analysis of ovine and pediatric pulmonary artery for heart valve stent design

Journal

JOURNAL OF BIOMECHANICS
Volume 46, Issue 12, Pages 2075-2081

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.jbiomech.2013.04.020

Keywords

Pulmonary artery; Heart valve replacement; Biaxial tensile test; Pediatric stent design; Constitutive modeling

Funding

  1. [European Community's] [European Atomic Energy Community's] [242008]

Ask authors/readers for more resources

Transcatheter heart valve replacement is an attractive and promising technique for congenital as well as acquired heart valve disease. In this procedure, the replacement valve is mounted in a stent that is expanded at the aimed valve position and fixated by clamping. However, for this technique to be appropriate for pediatric patients, the material properties of the host tissue need to be determined to design stents that can be optimized for this particular application. In this study we performed equibiaxial tensile tests on four adult ovine pulmonary artery walls and compared the outcomes with one pediatric pulmonary artery. Results show that the pediatric pulmonary artery was significantly thinner (1.06 +/- 0.36 mm (mean +/- SD)) than ovine tissue (2.85 +/- 0.40 mm), considerably stiffer for strain values that exceed the physiological conditions (beyond 50% strain in the circumferential and 60% in the longitudinal direction), more anisotropic (with a significant difference in stiffness between the longitudinal and circumferential directions beyond 60% strain) and presented stronger non-linear stress strain behavior at equivalent strains (beyond 26% strain) compared to ovine tissue. These discrepancies suggest that stents validated and optimized using the ovine pre-clinical model might not perform satisfactorily in pediatric patients. The material parameters derived from this study may be used to develop stent designs for both applications using computational models. (C) 2013 Elsevier Ltd. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Cardiac & Cardiovascular Systems

Guiding Interventions for Secondary Tricuspid Regurgitation: Follow the Intricate Interplay Between Form and Function

Rahi S. Alipour S. Symakani, Beatrijs Bartelds, Daphne Merkus, Ad J. J. C. Bogers, Yannick J. H. J. Taverne

Summary: Secondary tricuspid regurgitation (TR) can progress and lead to right ventricular failure and end-organ damage, despite treatment of the underlying disease. Surgical correction, though curative, has historically had poor outcomes due to delayed diagnosis and lack of clear surgical indications. The current guidelines are conservative and show inconsistencies, but there is a trend towards a more aggressive approach and emerging transcatheter options.

CARDIOLOGY IN REVIEW (2023)

Article Cardiac & Cardiovascular Systems

Male-Female Differences in Ascending Aortic Aneurysm Surgery: 25-Year Single Center Results

Kelly R. Voigt, Arjen L. Gokalp, Grigorios Papageorgiou, Ad J. J. C. Bogers, Johanna J. M. Takkenberg, Mostafa M. Mokhles, Jos A. Bekkers

SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY (2023)

Article Cardiac & Cardiovascular Systems

The Dutch national paediatric heart transplantation programme: outcomes during a 23-year period

Stefan Roest, Marijke H. van der Meulen, Lennie M. Van Osch-Gevers, Ulrike S. Kraemer, Alina A. Constantinescu, Matthijs de Hoog, Ad J. J. C. Bogers, Olivier C. Manintveld, Pieter C. van de Woestijne, Michiel Dalinghaus

Summary: The study examined the outcomes of pediatric heart transplantations in the Netherlands since 1998. The results showed that children who undergo heart transplant have high survival rates up to 10 years post-transplantation, and most patients have excellent functional status despite common complications. However, waiting list mortality remains high, highlighting the limited availability of donors for this vulnerable patient group.

NETHERLANDS HEART JOURNAL (2023)

Article Cardiac & Cardiovascular Systems

Essential Surgical Plan Modifications After Virtual Reality Planning in 50 Consecutive Segmentectomies

Wouter Bakhuis, Amir H. Sadeghi, Iris Moes, Alexander P. W. M. Maat, Sabrina Siregar, Ad J. J. C. Bogers, Edris A. F. Mahtab

Summary: This study aimed to investigate the clinical value of using the 3D VR technology, PulmoVR, for preoperative planning. The results showed that VR provided better insight into patient-specific anatomy and offered lung-sparing possibilities, with a 52% change in surgical plans and a 98% rate of radical resection.

ANNALS OF THORACIC SURGERY (2023)

Article Cell & Tissue Engineering

Engineering Strategies to Move from Understanding to Steering Renal Tubulogenesis

Maria J. J. Hagelaars, Laura Rijns, Patricia Y. W. Dankers, Sandra Loerakker, Carlijn V. C. Bouten

Summary: This study reviews the role of microenvironment in the development of renal tubules and provides insights on how this knowledge can be used in biomaterial-based tubular engineering using computational models. Understanding the complex chemical, physical, and mechanical interactions between cells and their microenvironment is crucial for guiding renal tubulogenesis. The study highlights the importance of a reciprocal interaction between understanding and engineering to effectively regenerate kidney tissue function.

TISSUE ENGINEERING PART B-REVIEWS (2023)

Article Materials Science, Biomaterials

3D Human iPSC Blood Vessel Organoids as a Source of Flow-Adaptive Vascular Cells for Creating a Human-Relevant 3D-Scaffold Based Macrovessel Model

Elana M. Meijer, Suzanne E. Koch, Christian G. M. van Dijk, Renee G. C. Maas, Ihsan Chrifi, Wojciech Szymczyk, Paul J. Besseling, Lisa Pomp, Vera J. C. H. Koomen, Jan Willem Buikema, Carlijn V. C. Bouten, Marianne C. Verhaar, Anthal I. P. M. Smits, Caroline Cheng

Summary: This study reports the creation of a perfused human macrovessel model using human induced pluripotent stem cell (hiPSC)-derived vascular organoid cells on an electrospun polycaprolactone-bisurea (PCL-BU) 3D scaffold. The cells harvested from the vascular organoids can be cryopreserved and expanded without loss of cell purity and proliferative capacity. The cells show shear stress response and establish a functional barrier that self-restores after a thrombin challenge. The static bioreactor culture results in a biomimetic vascular bi-layer hierarchy under laminar flow.

ADVANCED BIOLOGY (2023)

Article Chemistry, Multidisciplinary

The Importance of Effective Ligand Concentration to Direct Epithelial Cell Polarity in Dynamic Hydrogels

Laura Rijns, Maria J. J. Hagelaars, Joost J. B. van der Tol, Sandra Loerakker, Carlijn V. C. Bouten, Patricia Y. W. Dankers

Summary: Epithelial cysts and organoids are multicellular hollow structures formed by correctly polarized epithelial cells. Control over the effective ligand concentration in synthetic dynamic supramolecular hydrogels can regulate epithelial polarity in 2D and 3D cultures. The results provide insights on engineering synthetic biomaterials for cell and organoid culture.

ADVANCED MATERIALS (2023)

Article Cardiac & Cardiovascular Systems

Ventricular function and biomarkers in relation to repair and pulmonary valve replacement for tetralogy of Fallot

Jelle P. G. van der Ven, Marie Gunthel, Eva van den Bosch, Vivian P. Kamphuis, Nicolaas A. Blom, Johannes Breur, Rolf M. F. Berger, Ad J. J. C. Bogers, Laurens Koopman, Arend D. J. Ten Harkel, Vincent Christoffels, Willem A. Helbing

Summary: This study aims to characterize the response to perioperative injury in patients undergoing repair or pulmonary valve replacement for tetralogy of Fallot. The results show that there are differences in ventricular function and immune response after surgery between patients undergoing repair and those undergoing pulmonary valve replacement.

OPEN HEART (2023)

Article Engineering, Biomedical

Cyclic strain has antifibrotic effects on the human cardiac fibroblast transcriptome in a human cardiac fibrosis-on-a-chip platform

Tom C. L. Bracco Gartner, Ye Wang, Laurynas Leiteris, Iris van Adrichem, Judith Marsman, Marie Jose Goumans, Carlijn V. C. Bouten, Joost P. G. Sluijter, Jaap M. J. den Toonder, Willem J. L. Suyker, Jesper Hjortnaes

Summary: Cardiac fibroblasts in the ever-beating human heart remain quiescent due to the antifibrotic effect of cyclic strain conditions revealed by a novel platform for studying cardiac fibrosis-on-a-chip. This study provides insights into the mechanosensitive pathways and genes involved in the fibrogenic process, which can contribute to the development of new therapies against cardiac fibrosis.

JOURNAL OF THE MECHANICAL BEHAVIOR OF BIOMEDICAL MATERIALS (2023)

Article Ethics

How Smart are Smart Materials? A Conceptual and Ethical Analysis of Smart Lifelike Materials for the Design of Regenerative Valve Implants

Anne-Floor J. de Kanter, Karin R. Jongsma, Carlijn V. C. Bouten, Annelien L. Bredenoord

Summary: Innovations in the field of Regenerative Medicine may soon allow for the replacement and re-growth of healthy tissues after injury or disease. One promising innovation is a regenerative valve implant, made from 'smart' and 'lifelike' materials, that can stimulate the re-growth of a healthy heart valve. However, the ethical implications and conceptual understanding of these materials are still unclear.

SCIENCE AND ENGINEERING ETHICS (2023)

Article Multidisciplinary Sciences

Environmental stiffness restores mechanical homeostasis in vimentin-depleted cells

Janine Grolleman, Nicole C. A. van Engeland, Minahil Raza, Sepinoud Azimi, Vito Conte, Cecilia M. Sahlgren, Carlijn V. C. Bouten

Summary: Recent experimental evidence suggests that vimentin, an intermediate filament protein, plays a role in regulating cellular mechanical homeostasis. Vimentin-expressing cells adapt their cellular morphology and mechanics to changes in microenvironment stiffness, while vimentin-depleted cells lose this ability on short timescales but regain it on longer timescales. Additionally, vimentin-depleted cells compensate for the loss of vimentin by increasing collagen matrix synthesis and crosslinking.

SCIENTIFIC REPORTS (2023)

Article Chemistry, Multidisciplinary

Shape-Morphing Photoresponsive Hydrogels Reveal Dynamic Topographical Conditioning of Fibroblasts

Maaike Bril, Aref Saberi, Ignasi Jorba, Mark C. van Turnhout, Cecilia M. Sahlgren, Carlijn V. C. Bouten, Albert P. H. J. Schenning, Nicholas A. Kurniawan

Summary: This study presents a dynamic, cell-compatible, and reconfigurable hydrogel-based platform that allows reversible micrometer-scale changes in surface topography of the cellular environment using blue light stimulation. By investigating fibroblast response to controlled geometry actuations, the study reveals that fibroblasts reorganize their nucleus and focal adhesions in response to recurring topographical changes. This dynamic conditioning is associated with long-term maintenance of focal adhesions and epigenetic modifications.

ADVANCED SCIENCE (2023)

Article Cardiac & Cardiovascular Systems

Cardiac Function and Serum Biomarkers throughout Staged Fontan Palliation: A Prospective Observational Study

J. P. G. van der Ven, V. P. Kamphuis, E. van den Bosch, D. Gnanam, C. Terol, A. J. J. C. Bogers, J. M. P. J. Breur, R. M. F. Berger, N. A. Blom, A. D. J. ten Harkel, L. Koopman, W. A. Helbing

Summary: This study aimed to explore the biological processes related to impaired ventricular function and recovery following Fontan palliations using a biomarker panel, as well as to describe changes in ventricular function across the Fontan palliation. Observational study was conducted in patients undergoing partial or total cavo-pulmonary connection surgeries. The results showed that the single ventricular longitudinal strain temporarily decreased in partial cavo-pulmonary connection patients, but not in total cavo-pulmonary connection patients. Several biomarkers were associated with post-operative stress and adaptation, but none were related to the outcome.

JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE (2023)

Review Cardiac & Cardiovascular Systems

Aortic valve repair in neonates, infants and children: a systematic review, meta-analysis and microsimulation study

Maximiliaan L. Notenboom, Reda Rhellab, Jonathan R. G. Etnel, Nova van den Bogerd, Kevin M. Veen, Yannick J. H. J. Taverne, Willem A. Helbing, Pieter C. van de Woestijne, Ad J. J. C. Bogers, Johanna J. M. Takkenberg

Summary: This study supports the use of aortic valve repair in clinical decision-making for children with aortic valve disease by compiling available evidence. The study found that long-term outcomes after pediatric aortic valve repair for stenosis are satisfactory and depend on the age at surgery.

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY (2023)

Article Radiology, Nuclear Medicine & Medical Imaging

Incidental findings on routine preoperative noncontrast chest computed tomography and chest radiography prior to cardiac surgery in the multicenter randomized controlled CRICKET study

Wiebe G. Knol, Annemarie M. den Harder, Linda M. de Heer, Kalman Benke, Pal Maurovich-Horvat, Tim Leiner, Bela Merkely, Gabriel P. Krestin, Ad J. J. C. Bogers, Ricardo P. J. Budde

Summary: Routine CT-screening increases the rate of incidental findings, primarily by identifying more pulmonary findings requiring follow-up. Incidental findings are more prevalent in patients with a history of smoking, and preoperative CT may increase the yield of identifying lung cancer in these patients. Incidental findings, but not specifically the use of routine CT, are associated with delay of surgery.

EUROPEAN RADIOLOGY (2023)

Article Biophysics

Using bilateral data in controls and patients with bilateral and unilateral pathology requires increased scrutiny

Nathan D. Camarillo, Rafael Jimenez-Silva, Frances T. Sheehan

Summary: This article discusses the statistical dependence between multiple measurements from the same participant and provides recommendations for using these measurements when they are not independent.

JOURNAL OF BIOMECHANICS (2024)

Article Biophysics

Validation of a scanning technique with minimal compression for measuring muscle volume with freehand 3D ultrasound

J. Huet, A. -S. Boureau, A. Sarcher, C. Cornu, A. Nordez

Summary: Standard compression in freehand 3D ultrasound induces a bias in volume calculations, but minimal compression and gel pad methods have similar results. With a trained examiner and precautions, the bias can be minimized and become acceptable in clinical applications.

JOURNAL OF BIOMECHANICS (2024)

Article Biophysics

Effect of personalized spinal profile on its biomechanical response in an EMG-assisted optimization musculoskeletal model of the trunk

C. Lariviere, A. H. Eskandari, H. Mecheri, F. Ghezelbash, D. Gagnon, A. Shirazi-Adl

Summary: Recent developments in musculoskeletal modeling have focused on model customization. Personalization of the spine profile may affect estimates of spinal loading and stability. This study investigates the biomechanical consequences of changes in the spinal profile and finds that personalizing the spine profile has medium to large effects on trunk muscle forces and negligible to small effects on spinal loading and stability.

JOURNAL OF BIOMECHANICS (2024)

Article Biophysics

Individuals with rotator cuff tears unsuccessfully treated with exercise therapy have less inferiorly oriented net muscle forces during scapular plane abduction

Luke T. Mattar, Arash B. Mahboobin, Adam J. Popchak, William J. Anderst, Volker Musahl, James J. Irrgang, Richard E. Debski

Summary: Exercise therapy fails in about 25.0% of cases for individuals with rotator cuff tears, and one reason for this failure may be the inability to strengthen and balance the muscle forces that keep the humeral head in the correct position. This study developed computational musculoskeletal models to compare the net muscle force before and after exercise therapy between successfully and unsuccessfully treated patients. The study found that unsuccessfully treated patients had less inferiorly oriented net muscle forces, which may increase the risk of impingement.

JOURNAL OF BIOMECHANICS (2024)

Article Biophysics

Hip and lumbosacral joint centre locations in asian population: Biases produced by existing regression equations and development of new equations

Natsuki Sado, Takeshi Edagawa, Toshihide Fujimori, Shogo Hashimoto, Yoshikazu Okamoto, Takahito Nakajima

Summary: The existing methods for predicting hip and lumbosacral joint centres in Japanese adults are biased and differ between sexes. We propose new regression equations that consider soft-tissue thickness, sex differences, and a height-directional measure, and validate them using leave-one-out cross-validation.

JOURNAL OF BIOMECHANICS (2024)

Article Biophysics

Differences in intra-foot movement strategies during locomotive tasks among chronic ankle instability, copers and healthy individuals

Peimin Yu, Xuanzhen Cen, Qichang Mei, Alan Wang, Yaodong Gu, Justin Fernandez

Summary: This study aimed to explore the intra-foot biomechanical differences among individuals with chronic ankle instability (CAI), copers, and healthy individuals during dynamic tasks. The study found that copers and CAI individuals had smaller dorsiflexion angles and copers presented a more eversion position compared to healthy participants. Copers also had greater dorsiflexion angles in the metatarsophalangeal joint and more inversion moments in the subtalar joint during certain tasks. These findings can help in designing interventions to restore ankle joint functions in CAI individuals.

JOURNAL OF BIOMECHANICS (2024)

Article Biophysics

Acute effects of robot-assisted body weight unloading on biomechanical movement patterns during overground walking

Jon Skovgaard Jensen, Anders Holsgaard-Larsen, Anders Stengaard Sorensen, Per Aagaard, Jens Bojsen-Moller

Summary: This study investigates the biomechanical effects of robot-assisted body weight unloading (BWU) on gait patterns in healthy young adults. The results show that dynamic robot-assisted BWU enables reduced kinetic requirements without distorting biomechanically normal gait patterns during overground walking.

JOURNAL OF BIOMECHANICS (2024)