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Biomedical Engineering and Bioengineering Commons

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Full-Text Articles in Biomedical Engineering and Bioengineering

Hydrodynamic Assessment Of A Porcine Small Intestinal Sub-Mucosa Bioscaffold Valve For Pediatric Mitral Valve Replacement, Omkar V. Mankame Jul 2017

Hydrodynamic Assessment Of A Porcine Small Intestinal Sub-Mucosa Bioscaffold Valve For Pediatric Mitral Valve Replacement, Omkar V. Mankame

FIU Electronic Theses and Dissertations

Valve replacement for critical heart valve diseases is in many cases not an option. Our clinical experience in pediatric compassionate care has shown robust function of porcine small intestinal submucosa (PSIS) valves. We assessed functional effectiveness of 4ply (~320µm) and 2ply (~166µm) PSIS mitral valves under pediatric-relevant hemodynamic pulsatile conditions. Key conclusions: (i)PSIS valves demonstrated statistically similar acute functionality in comparison to a commercially available valve. (ii)Energy losses were similar (p>0.05) under pediatric conditions which was not the case under adult aortic conditions. (iii)2ply valves were observed to be superior to 4ply, based on the robust hydrodynamic data, the …


Segmental Kinematic Analysis Of Planovalgus Feet During Walking In Children With Cerebral Palsy, Karen M. Kruger, Katherine A. Konop, Joseph Krzak, Adam Graf, Haluk Altiok, Peter A. Smith, Gerald F. Harris May 2017

Segmental Kinematic Analysis Of Planovalgus Feet During Walking In Children With Cerebral Palsy, Karen M. Kruger, Katherine A. Konop, Joseph Krzak, Adam Graf, Haluk Altiok, Peter A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Pes planovalgus (flatfoot) is a common deformity among children with cerebral palsy. The Milwaukee Foot Model (MFM), a multi-segmental kinematic foot model, which uses radiography to align the underlying bony anatomy with reflective surface markers, was used to evaluate 20 pediatric participants (30 feet) with planovalgus secondary to cerebral palsy prior to surgery. Three-dimensional kinematics of the tibia, hindfoot, forefoot, and hallux segments are reported and compared to an age-matched control set of typically-developing children. Most results were consistent with known characteristics of the deformity and showed decreased plantar flexion of the forefoot relative to hindfoot, increased forefoot abduction, and …


Superior Performance Of Continuous Over Pulsatile Flow Ventricular Assist Devices In The Single Ventricle Circulation: A Computational Study, Tyler Schmidt, David Rosenthal, Olaf Reinhartz, Kirk Riemer, Fei He, Tain-Yen Hsia, Alison Marsden, Ethan Kung Feb 2017

Superior Performance Of Continuous Over Pulsatile Flow Ventricular Assist Devices In The Single Ventricle Circulation: A Computational Study, Tyler Schmidt, David Rosenthal, Olaf Reinhartz, Kirk Riemer, Fei He, Tain-Yen Hsia, Alison Marsden, Ethan Kung

Publications

This study compares the physiological responses of systemic-to-pulmonary shunted single ventricle patients to pulsatile and continuous flow ventricular assist devices (VADs). Performance differences between pulsatile and continuous flow VADs have been clinically observed, but the underlying mechanism remains poorly understood. Six systemic-to-pulmonary shunted single ventricle patients (mean BSA=0.30 m2) were computationally simulated using a lumped-parameter network tuned to match patient specific clinical data. A first set of simulations compared current clinical implementation of VADs in single ventricle patients. A second set modified pulsatile flow VAD settings with the goal to optimize cardiac output (CO). For all patients, the best-case continuous …