Mechanical Performance of Two Left Atrial Appendage Occlusion Systems: In Vitro Comparison of Tug Force, Radial Force, Sealing and Deformation.

Abstract:

:The aim of this study was to establish in vitro bench-tests of left atrial appendage occlusion (LAAo) devices regarding tug force, radial force and sealing capacity. Two LAAo devices, namely the WATCHMAN™ and the Occlutech®, of three different sizes underwent testing in novel dedicated in vitro setups. Radial force was assessed in a commercial radial force tester. At baseline, tug force of the WATCHMAN™ was significantly higher when compared to Occlutech® for all devices. Repeated resheathing resulted in a reduction of device-diameter in the WATCHMAN™ devices of max. 7.9%, whereas diameters of Occlutech® occluders remained unchanged. Tug force was not significantly impacted by resheathing in both devices. At baseline, sealing capacity in a bench-test using silicone LAA-models did not differ between the devices. Resheathing lead to an in vitro loss of sealing capacity of the WATCHMAN™ devices, increasing with resheathing and resulting in a max. peridevice leak of 91.1 ± 7.9%. Radial force was higher for the Occlutech® devices and decreased for WATCHMAN™ occluders after resheathing. The WATCHMAN™ occluder series showed progressive deformation, increased peridevice leakage and decreased radial force after resheathing, presumably as a result of diameter reduction. Tug force of the WATCHMAN™ was not impaired by resheathing and was significantly higher than that of the Occlutech® device.

journal_name

Ann Biomed Eng

authors

Menne MF,Schrickel JW,Nickenig G,Al-Kassou B,Nelles D,Schmitz-Rode T,Steinseifer U,Sedaghat A

doi

10.1007/s10439-018-2057-z

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

1337-1347

issue

9

eissn

0090-6964

issn

1573-9686

pii

10.1007/s10439-018-2057-z

journal_volume

46

pub_type

杂志文章
  • Phonocardiographic signal analysis method using a modified hidden Markov model.

    abstract::Auscultation is an important diagnostic indicator for cardiovascular analysis. Heart sound classification and analysis play an important role in the auscultative diagnosis. This study uses a combination of Mel-frequency cepstral coefficient (MFCC) and hidden Markov model (HMM) to efficiently extract the features for p...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-006-9232-3

    authors: Wang P,Lim CS,Chauhan S,Foo JY,Anantharaman V

    更新日期:2007-03-01 00:00:00

  • Analysis and prediction of left ventricular performance under load changes during cardiac catheterization.

    abstract::The applicability of a computer model, which relates the transmural mechanical distribution in the left ventricle (LV) to its global function at different loading conditions, was evaluated in patients with normal to near normal LV function undergoing cardiac catheterization. Left ventriculography and measurements of a...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/BF02364159

    authors: Abboud L,Beyar R,Battler A,Rat M,Cohen A,Sideman S

    更新日期:1990-01-01 00:00:00

  • Phenotype modulation in vascular tissue engineering using biochemical and mechanical stimulation.

    abstract::Biochemical stimulation was applied in combination with cyclic mechanical strain to engineered vascular constructs made of isolated smooth muscle cells in a three-dimensional (3D) collagen type 1 matrix. Platelet-derived growth factor (PDGF) and transforming growth factor beta (TGF-beta) were added exogenously to the ...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1114/1.1558031

    authors: Stegemann JP,Nerem RM

    更新日期:2003-04-01 00:00:00

  • Phospholipids identified on the pericardium and their ability to impart boundary lubrication.

    abstract::Phospholipids have been identified by thin-layer chromatography in appreciable quantities in pericardial fluid taken from 12 dogs and found to include sphingomyelin and phosphatidylcholines, -ethanolamines, -inositols and -serines--the cholines predominating. The extracts, the synthetic surfactants and a mixture of sy...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/BF02584258

    authors: Hills BA,Butler BD

    更新日期:1985-01-01 00:00:00

  • Regional distribution of aerosol deposition in rat lungs using magnetic resonance imaging.

    abstract::The toxic or therapeutic effect of an inhaled aerosol is highly dependent upon the site and extent of deposition in the lung. A novel MRI-based method was used to quantify the spatial distribution of particles in the rat lung. Rats were exposed to 0.95 μm-diameter iron oxide particles in a controlled manner (N = 6) or...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-013-0745-2

    authors: Oakes JM,Scadeng M,Breen EC,Prisk GK,Darquenne C

    更新日期:2013-05-01 00:00:00

  • Pulsatile flow in tubes of elliptic cross sections.

    abstract::The compression of blood vessels by surrounding tissue is an important problem in hemodynamics, most prominently in studies relating to the heart. In this study we consider a long tube of elliptic cross section as an idealization of the geometry of a compressed blood vessel. An exact solution of the governing equation...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1114/1.106

    authors: Haslam M,Zamir M

    更新日期:1998-09-01 00:00:00

  • A novel approach to track fetal movement using multi-sensor magnetocardiographic recordings.

    abstract::Changes in fetal magnetocardiographic (fMCG) signals are indicators for fetal body movement. We propose a novel approach to reliably extract fetal body movements based on the field strength of the fMCG signal independent of its frequency. After attenuating the maternal MCG, we use a Hilbert transform approach to ident...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-010-0231-z

    authors: Govindan RB,Vairavan S,Ulusar UD,Wilson JD,McKelvey SS,Preissl H,Eswaran H

    更新日期:2011-03-01 00:00:00

  • A novel left heart simulator for the multi-modality characterization of native mitral valve geometry and fluid mechanics.

    abstract::Numerical models of the mitral valve have been used to elucidate mitral valve function and mechanics. These models have evolved from simple two-dimensional approximations to complex three-dimensional fully coupled fluid structure interaction models. However, to date these models lack direct one-to-one experimental val...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-012-0651-z

    authors: Rabbah JP,Saikrishnan N,Yoganathan AP

    更新日期:2013-02-01 00:00:00

  • Fluorescence lifetime techniques in medical applications.

    abstract::This article presents an overview of time-resolved (lifetime) fluorescence techniques used in biomedical diagnostics. In particular, we review the development of time-resolved fluorescence spectroscopy (TRFS) and fluorescence lifetime imaging (FLIM) instrumentation and associated methodologies which allow in vivo char...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章,评审

    doi:10.1007/s10439-011-0495-y

    authors: Marcu L

    更新日期:2012-02-01 00:00:00

  • Effects of chamber shape and fiber orientation on relations between fiber dynamics and chamber dynamics.

    abstract::The function of a chamber depends on its hydrodynamic properties: isometric pressures it can exert in the operating range of distensions, compliances in the operating range of distensions, and wall-displacement resistances in the operating range of distensions. Wall-displacement resistance is the departure of pressure...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/BF02368017

    authors: Regen DM

    更新日期:1988-01-01 00:00:00

  • Biomechanical Challenges to Polymeric Biodegradable Stents.

    abstract::Biodegradable implants have demonstrated clinical success in simple applications (e.g., absorbable sutures) and have shown great potential in many other areas of interventional medicine, such as localized drug delivery, engineered tissue scaffolding, and structural implants. For endovascular stenting and musculoskelet...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-015-1477-2

    authors: Soares JS,Moore JE Jr

    更新日期:2016-02-01 00:00:00

  • Coupling of a 3D finite element model of cardiac ventricular mechanics to lumped systems models of the systemic and pulmonic circulation.

    abstract::In this study we present a novel, robust method to couple finite element (FE) models of cardiac mechanics to systems models of the circulation (CIRC), independent of cardiac phase. For each time step through a cardiac cycle, left and right ventricular pressures were calculated using ventricular compliances from the FE...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-006-9212-7

    authors: Kerckhoffs RC,Neal ML,Gu Q,Bassingthwaighte JB,Omens JH,McCulloch AD

    更新日期:2007-01-01 00:00:00

  • Matrix Stiffness Modulates Mesenchymal Stem Cell Sensitivity to Geometric Asymmetry Signals.

    abstract::Human stem cells hold significant potential for the treatment of various diseases. However, their use as a therapy is hampered because of limited understanding of the mechanisms by which they respond to environmental stimuli. Efforts to understand extracellular biophysical cues have demonstrated the critical roles of ...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-018-2008-8

    authors: Piroli ME,Jabbarzadeh E

    更新日期:2018-06-01 00:00:00

  • A COVID-19 Airway Management Innovation with Pragmatic Efficacy Evaluation: The Patient Particle Containment Chamber.

    abstract::The unique resource constraints, urgency, and virulence of the coronavirus disease 2019 pandemic has sparked immense innovation in the development of barrier devices to protect healthcare providers from infectious airborne particles generated by patients during airway management interventions. Of the existing devices,...

    journal_title:Annals of biomedical engineering

    pub_type: 社论

    doi:10.1007/s10439-020-02599-6

    authors: Maloney LM,Yang AH,Princi RA,Eichert AJ,Hébert DR,Kupec TV,Mertz AE,Vasyltsiv R,Vijaya Kumar TM,Walker GJ,Peralta EJ,Hoffman JL,Yin W,Page CR

    更新日期:2020-10-01 00:00:00

  • A numerical implementation to predict residual strains from the homogeneous stress hypothesis with application to abdominal aortic aneurysms.

    abstract::Wall stress analysis of abdominal aortic aneurysm (AAA) is a promising method of identifying AAAs at high risk of rupture. However, neglecting residual strains (RS) in the load-free configuration of patient-specific finite element analysis models is a sever limitation that strongly affects the computed wall stresses. ...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-013-0749-y

    authors: Polzer S,Bursa J,Gasser TC,Staffa R,Vlachovsky R

    更新日期:2013-07-01 00:00:00

  • Biomechanical topography of human ankle cartilage.

    abstract::The material properties of normal cadaveric human cartilage in the ankle mortice (tibiotalar articulation) were evaluated to determine a possible etiologic mechanism of cartilage injury of the ankle when an obvious traumatic episode is not present. Using an automated indentation apparatus and the biphasic creep indent...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/BF02584467

    authors: Athanasiou KA,Niederauer GG,Schenck RC Jr

    更新日期:1995-09-01 00:00:00

  • Nonlinear dynamics of microvascular blood flow.

    abstract::Kiani et al. (Kiani, M. F., A. R. Pries, L. L. Hsu, I. H. Sarelius, and G. R. Cokelet, Am. J. Physics. 266: H1822-H1828, 1994) suggested that blood velocity, hematocrit, and nodal pressures can oscillate spontaneously in large microvascular networks in the absence of biological control. This paper presents a model of ...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1114/1.1306346

    authors: Carr RT,Lacoin M

    更新日期:2000-06-01 00:00:00

  • Mechanics of a thin walled collapsible microtube.

    abstract::The purpose of this study is to measure the transmural pressure-cross sectional area relation of micro tubes (240 microns diameter) and to compare the measured perfusion pressure-flow relation with the pressure-flow relation calculated from the experimental pressure-cross sectional area relation. The microtubes are ma...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/BF02368042

    authors: Sipkema P,Westerhof N

    更新日期:1989-01-01 00:00:00

  • A numerical analysis of factor X activation in the presence of tissue factor--factor VIIa complex in a flow reactor.

    abstract::A mathematical model has been developed to investigate previously obtained experimental findings relating to the activation of factor X by surface-bound tissue factor--factor VIIa (TF:VIIa) in a tubular flow reactor. In those experiments, factor X was perfused through a microcapillary tube over a range of flow (shear)...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/BF02660888

    authors: Gir S,Slack SM,Turitto VT

    更新日期:1996-05-01 00:00:00

  • LDL decreases the membrane compliance and cell adhesion of endothelial cells under fluid shear stress.

    abstract::Atherosclerosis is an inflammatory disease of large and medium sized arteriole walls that is precipitated by elevated levels of low-density lipoprotein (LDL) cholesterol in the blood. However, the mechanisms that lead to the initiation of atherosclerosis are not fully understood. In this study, endothelial cells (ECs)...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-012-0677-2

    authors: Wei D,Chen Y,Tang C,Huang H,Liu L,Wang Z,Li R,Wang G

    更新日期:2013-03-01 00:00:00

  • Through the microcirculatory maze with machete, molecule, and minicomputer (1986 Alza lecture).

    abstract::This is a personal historical essay on meanderings through the jungle of the microcirculatory swamp. Because one pretends that the wandering was purposefully exploratory, a few guideposts are placed at positions where one could discern blaze-marks from earlier wanderers, and the path cut a little wider along some of t...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章,评审

    doi:10.1007/BF02363568

    authors: Bassingthwaighte JB

    更新日期:1987-01-01 00:00:00

  • Multiscale Modeling in the Clinic: Drug Design and Development.

    abstract::A wide range of length and time scales are relevant to pharmacology, especially in drug development, drug design and drug delivery. Therefore, multiscale computational modeling and simulation methods and paradigms that advance the linkage of phenomena occurring at these multiple scales have become increasingly importa...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章,评审

    doi:10.1007/s10439-016-1563-0

    authors: Clancy CE,An G,Cannon WR,Liu Y,May EE,Ortoleva P,Popel AS,Sluka JP,Su J,Vicini P,Zhou X,Eckmann DM

    更新日期:2016-09-01 00:00:00

  • Hierarchical CT to Ultrasound Registration of the Lumbar Spine: A Comparison with Other Registration Methods.

    abstract::Three-dimensional (3D) measurement of the spine can provide important information for functional, developmental, diagnostic, and treatment-effect evaluations. However, existing measurement techniques are either 2-dimensional, highly invasive, or involve a high radiation dose, prohibiting their widespread and repeated ...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-016-1599-1

    authors: Koo TK,Kwok WE

    更新日期:2016-10-01 00:00:00

  • Effect of extracellular potassium accumulation on muscle fiber conduction velocity: a simulation study.

    abstract::A progressive reduction in muscle fiber conduction velocity is typically observed during fatiguing muscle contraction. Although the exact causes of the conduction velocity decrease have not yet been fully established, increasing evidence suggests that changes in extracellular potassium concentration may be largely res...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-009-9756-4

    authors: Fortune E,Lowery MM

    更新日期:2009-10-01 00:00:00

  • High-resolution 3D ultrasound jawbone surface imaging for diagnosis of periodontal bony defects: an in vitro study.

    abstract::Although medical specialties have recognized the importance of using ultrasonic imaging, dentistry is only beginning to discover its benefit. This has particularly been important in the field of periodontics which studies infections in the gum and bone tissues that surround the teeth. This study investigates the feasi...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-010-0089-0

    authors: Mahmoud AM,Ngan P,Crout R,Mukdadi OM

    更新日期:2010-11-01 00:00:00

  • Interstitial stress and fluid pressure within a growing tumor.

    abstract::A solid tumor is composed of a population of cells that is expanding as a result of cell division. With dense cell packing, the solid matrix of the interstitial tissue is subject to residual stress. In addition, elevated interstitial fluid pressure (IFP) has been reported by researchers for a number of solid tumors. T...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1114/1.1554923

    authors: Sarntinoranont M,Rooney F,Ferrari M

    更新日期:2003-03-01 00:00:00

  • New perspectives on bioengineering of joint tissues: joint adaptation creates a moving target for engineering replacement tissues.

    abstract::The current paradigm in tissue engineering is that "full regeneration" or "total replacement" of normal tissue is required in order to restore joint function. However, there is considerable evidence that suggests that targets other than "normality" may actually be required for tissue substitutes. Sometimes "less than ...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章,评审

    doi:10.1023/b:abme.0000017548.85451.b7

    authors: Frank CB,Shrive NG,Boorman RS,Lo IK,Hart DA

    更新日期:2004-03-01 00:00:00

  • Development of FRET assay into quantitative and high-throughput screening technology platforms for protein-protein interactions.

    abstract::Förster resonance energy transfer (FRET) technology has been widely used in biological and biomedical research and is a very powerful tool in elucidating protein interactions in many cellular processes. Ubiquitination and SUMOylation are multi-step cascade reactions, involving multiple enzymes and protein-protein inte...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-010-0225-x

    authors: Song Y,Madahar V,Liao J

    更新日期:2011-04-01 00:00:00

  • Chondrogenesis and integration of mesenchymal stem cells within an in vitro cartilage defect repair model.

    abstract::Integration of repair tissue is a key indicator of the long-term success of cell-based therapies for cartilage repair. The objective of this study was to compare the in vitro chondrogenic differentiation and integration of agarose hydrogels seeded with either chondrocytes or bone marrow-derived mesenchymal stem cells ...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1007/s10439-009-9791-1

    authors: Vinardell T,Thorpe SD,Buckley CT,Kelly DJ

    更新日期:2009-12-01 00:00:00

  • A device for imposing cyclic strain to cells growing on implant alloys.

    abstract::The objective of this study was to develop a unique device for applying well-characterized cyclic, strain to cells growing on implant alloys. The device is based on the four-point bending principle and utilizes an electric motor, belt, and cam system to cyclically deflect a commercially pure titanium plate with cell c...

    journal_title:Annals of biomedical engineering

    pub_type: 杂志文章

    doi:10.1114/1.1529195

    authors: Winter LC,Gilbert JA,Elder SH,Bumgardner JD

    更新日期:2002-11-01 00:00:00