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 |
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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. However, real fatigue testing is necessary to definitively determine which is the best suture to use.</description><identifier>ISSN: 0142-9612</identifier><identifier>EISSN: 1878-5905</identifier><identifier>DOI: 10.1016/0142-9612(96)87647-2</identifier><identifier>PMID: 8866029</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>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</subject><ispartof>Biomaterials, 1996, Vol.17 (17), p.1677-1683</ispartof><rights>1996</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-e879d5d19f47cb70df1d4aaa41b47789ebf43d528848bb78b7c6c9b7a6ba3f553</citedby><cites>FETCH-LOGICAL-c417t-e879d5d19f47cb70df1d4aaa41b47789ebf43d528848bb78b7c6c9b7a6ba3f553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0142-9612(96)87647-2$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,4025,27928,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3186938$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8866029$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Páez, J.M.García</creatorcontrib><creatorcontrib>Martin, A.Carrera San</creatorcontrib><creatorcontrib>Sestafe, J.V.García</creatorcontrib><creatorcontrib>Herrero, E.Jorge</creatorcontrib><creatorcontrib>Navidad, R.</creatorcontrib><creatorcontrib>Cordón, A.</creatorcontrib><creatorcontrib>Castillo-Olivares, J.L.</creatorcontrib><title>Elastic behaviour of sutured calf pericardium: influence of the suture threads</title><title>Biomaterials</title><addtitle>Biomaterials</addtitle><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.</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. Equipments</subject><subject>Tensile Strength</subject><issn>0142-9612</issn><issn>1878-5905</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLJDEQgIO46Oj6DxT6IKKH3k2606nEgyCi7oLoRc8hjwpGeqbHpFvYf7_dTjNHvdSD-qooPkKOGf3FKBO_KeNVqQSrzpW4kCA4lNUOWTAJsmwUbXbJYovsk4Oc3-jYU17tkT0phaCVWpDH29bkPrrC4qv5iN2Qii4UeeiHhL5wpg3FGlN0Jvk4LC-LuArtgCuHE9a_4oyOZULj80_yI5g249GcD8nL3e3zzZ_y4en-7831Q-k4g75ECco3nqnAwVmgPjDPjTGcWQ4gFdrAa99UUnJpLUgLTjhlwQhr6tA09SE529xdp-59wNzrZcwO29assBuyBslrEA18C7JGMRBAR5BvQJe6nBMGvU5xadI_zaiefOtJpp5kjkF_-tbVuHYy3x_sEv12aRY8zk_nucmTzWRWLuYtVjMpVC1H7GqD4SjtI2LS2cVJs48JXa99F7_-4z-f7JxJ</recordid><startdate>1996</startdate><enddate>1996</enddate><creator>Páez, J.M.García</creator><creator>Martin, A.Carrera San</creator><creator>Sestafe, J.V.García</creator><creator>Herrero, E.Jorge</creator><creator>Navidad, R.</creator><creator>Cordón, A.</creator><creator>Castillo-Olivares, J.L.</creator><general>Elsevier Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>1996</creationdate><title>Elastic behaviour of sutured calf pericardium: influence of the suture threads</title><author>Páez, J.M.García ; Martin, A.Carrera San ; Sestafe, J.V.García ; Herrero, E.Jorge ; Navidad, R. ; Cordón, A. ; Castillo-Olivares, J.L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-e879d5d19f47cb70df1d4aaa41b47789ebf43d528848bb78b7c6c9b7a6ba3f553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Animals</topic><topic>Biocompatible Materials - metabolism</topic><topic>Biocompatible Materials - standards</topic><topic>Biological and medical sciences</topic><topic>bioprostheses</topic><topic>Cattle</topic><topic>Elasticity</topic><topic>Heart Valve Prosthesis</topic><topic>Insect Proteins</topic><topic>Mathematics</topic><topic>mechanical properties</topic><topic>Medical sciences</topic><topic>Nylons</topic><topic>Pericardium - pathology</topic><topic>Pericardium - physiology</topic><topic>Pericardium - surgery</topic><topic>Polypropylenes</topic><topic>Polytetrafluoroethylene</topic><topic>Pressure</topic><topic>Proteins</topic><topic>Silk</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Sutures</topic><topic>Sutures - adverse effects</topic><topic>Sutures - standards</topic><topic>Technology. Biomaterials. Equipments</topic><topic>Tensile Strength</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Páez, J.M.García</creatorcontrib><creatorcontrib>Martin, A.Carrera San</creatorcontrib><creatorcontrib>Sestafe, J.V.García</creatorcontrib><creatorcontrib>Herrero, E.Jorge</creatorcontrib><creatorcontrib>Navidad, R.</creatorcontrib><creatorcontrib>Cordón, A.</creatorcontrib><creatorcontrib>Castillo-Olivares, J.L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Biomaterials</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Páez, J.M.García</au><au>Martin, A.Carrera San</au><au>Sestafe, J.V.García</au><au>Herrero, E.Jorge</au><au>Navidad, R.</au><au>Cordón, A.</au><au>Castillo-Olivares, J.L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elastic behaviour of sutured calf pericardium: influence of the suture threads</atitle><jtitle>Biomaterials</jtitle><addtitle>Biomaterials</addtitle><date>1996</date><risdate>1996</risdate><volume>17</volume><issue>17</issue><spage>1677</spage><epage>1683</epage><pages>1677-1683</pages><issn>0142-9612</issn><eissn>1878-5905</eissn><abstract>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.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>8866029</pmid><doi>10.1016/0142-9612(96)87647-2</doi><tpages>7</tpages></addata></record> |
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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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