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Bicuspid-valved PTFE conduit optimization for pediatric RVOT reconstruction

机译:双尖瓣PTFE导管优化用于小儿RVOT重建

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Conduits available for right ventricular outflow tract (RVOT) reconstruction eventually become stenotic and/or insufficient due to calcification. To reduce the incidence of reoperations, using a bicuspid-valved polytetrafluoroethylene (PTFE) conduit for the RVOT reconstruction can be a viable alternative. The previous designs of this PTFE conduit performed well both in vitro and in clinical evaluations, with relatively low pressure drop, and intact valve motion independent from the conduit curvature, orientation or valve location, but at the expense of increased diastolic flow regurgitation. This undergraduate research project aims to optimize the conduit hemodynamics through the joint use of computational bioengineering modeling, bicuspid heart-valve shape optimization and in vitro hemodynamic evaluation. In addition, the development of a novel device for the intra-operative creation of sinuses in the conduit for improved valve closure is described.
机译:由于钙化,可用于右心室流出道(RVOT)重建的导管最终变得狭窄和/或不足。为了减少再次手术的发生,使用双尖瓣聚四氟乙烯(PTFE)导管进行RVOT重建可能是一种可行的选择。该PTFE导管的先前设计在体外和临床评估中均表现良好,具有相对较低的压降,并且完整的瓣膜运动独立于导管的曲率,方向或瓣膜位置,但以增加的舒张流反流为代价。该本科研究项目旨在通过联合使用计算生物工程模型,二尖瓣心脏瓣膜形状优化和体外血液动力学评估来优化导管的血液动力学。另外,描述了用于在导管内术中产生鼻窦以改善瓣膜闭合的新颖装置的开发。

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