Elastic behaviour of sutured calf pericardium: influence of the suture threads

The purpose of this study was to assess the elastic behaviour of calf pericardium used in the construction of cardiac bioprosthesis valve leaflets, sutured with different types of commercially available sutures: silk, Gore-Tex, Surgilene and nylon. Thirty-two samples (four series of eight samples ea...

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Veröffentlicht in:Biomaterials 1996, Vol.17 (17), p.1677-1683
Hauptverfasser: Páez, J.M.García, Martin, A.Carrera San, Sestafe, J.V.García, Herrero, E.Jorge, Navidad, R., Cordón, A., Castillo-Olivares, J.L.
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container_end_page 1683
container_issue 17
container_start_page 1677
container_title Biomaterials
container_volume 17
creator Páez, J.M.García
Martin, A.Carrera San
Sestafe, J.V.García
Herrero, E.Jorge
Navidad, R.
Cordón, A.
Castillo-Olivares, J.L.
description The purpose of this study was to assess the elastic behaviour of calf pericardium used in the construction of cardiac bioprosthesis valve leaflets, sutured with different types of commercially available sutures: silk, Gore-Tex, Surgilene and nylon. Thirty-two samples (four series of eight samples each) were subjected to tensile strength testing to breakage. The breaking stress (MPa) ranged between 4.89 MPa for samples sutured with Gore-Tex and 5.22 MPa for those sewn with nylon. Three samples from each series were subjected to a stepwise stress test, involving increasing levels of stress followed by return to zero, to define the elastic limit (the cut-off point beyond which strain is no longer reversible). Analysis of the results provided the mathematical functions that govern the elastic behaviour (stress/strain) within the elastic range for each type of sutured sample. The series sutured with Surgilene presented the highest mean value (1.649 MPa). Finally, a statistical study was carried out to determine which series showed the greatest probability of having the least interaction between the thread and the pericardium. Allowing an interval of ±10%, Gore-Tex showed the best probability in this respect. However, real fatigue testing is necessary to definitively determine which is the best suture to use.
doi_str_mv 10.1016/0142-9612(96)87647-2
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Thirty-two samples (four series of eight samples each) were subjected to tensile strength testing to breakage. The breaking stress (MPa) ranged between 4.89 MPa for samples sutured with Gore-Tex and 5.22 MPa for those sewn with nylon. Three samples from each series were subjected to a stepwise stress test, involving increasing levels of stress followed by return to zero, to define the elastic limit (the cut-off point beyond which strain is no longer reversible). Analysis of the results provided the mathematical functions that govern the elastic behaviour (stress/strain) within the elastic range for each type of sutured sample. The series sutured with Surgilene presented the highest mean value (1.649 MPa). Finally, a statistical study was carried out to determine which series showed the greatest probability of having the least interaction between the thread and the pericardium. Allowing an interval of ±10%, Gore-Tex showed the best probability in this respect. 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Thirty-two samples (four series of eight samples each) were subjected to tensile strength testing to breakage. The breaking stress (MPa) ranged between 4.89 MPa for samples sutured with Gore-Tex and 5.22 MPa for those sewn with nylon. Three samples from each series were subjected to a stepwise stress test, involving increasing levels of stress followed by return to zero, to define the elastic limit (the cut-off point beyond which strain is no longer reversible). Analysis of the results provided the mathematical functions that govern the elastic behaviour (stress/strain) within the elastic range for each type of sutured sample. The series sutured with Surgilene presented the highest mean value (1.649 MPa). Finally, a statistical study was carried out to determine which series showed the greatest probability of having the least interaction between the thread and the pericardium. Allowing an interval of ±10%, Gore-Tex showed the best probability in this respect. However, real fatigue testing is necessary to definitively determine which is the best suture to use.</description><subject>Animals</subject><subject>Biocompatible Materials - metabolism</subject><subject>Biocompatible Materials - standards</subject><subject>Biological and medical sciences</subject><subject>bioprostheses</subject><subject>Cattle</subject><subject>Elasticity</subject><subject>Heart Valve Prosthesis</subject><subject>Insect Proteins</subject><subject>Mathematics</subject><subject>mechanical properties</subject><subject>Medical sciences</subject><subject>Nylons</subject><subject>Pericardium - pathology</subject><subject>Pericardium - physiology</subject><subject>Pericardium - surgery</subject><subject>Polypropylenes</subject><subject>Polytetrafluoroethylene</subject><subject>Pressure</subject><subject>Proteins</subject><subject>Silk</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Sutures</subject><subject>Sutures - adverse effects</subject><subject>Sutures - standards</subject><subject>Technology. Biomaterials. 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identifier ISSN: 0142-9612
ispartof Biomaterials, 1996, Vol.17 (17), p.1677-1683
issn 0142-9612
1878-5905
language eng
recordid cdi_proquest_miscellaneous_78437657
source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Animals
Biocompatible Materials - metabolism
Biocompatible Materials - standards
Biological and medical sciences
bioprostheses
Cattle
Elasticity
Heart Valve Prosthesis
Insect Proteins
Mathematics
mechanical properties
Medical sciences
Nylons
Pericardium - pathology
Pericardium - physiology
Pericardium - surgery
Polypropylenes
Polytetrafluoroethylene
Pressure
Proteins
Silk
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Sutures
Sutures - adverse effects
Sutures - standards
Technology. Biomaterials. Equipments
Tensile Strength
title Elastic behaviour of sutured calf pericardium: influence of the suture threads
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