title: Fine trabecularized carbon: ideal material and texture for percutaneous device system of permanent left ventricular assist device.
abstract: The development of a percutaneous artificial internal organ system requires a reliable biocompatible connection between the external environment and the inside of the human body. Such is necessary for the success of a permanent left ventricular assist device. However, the search for a satisfactory interface at the epidermal level has proven to be difficult. Carbon has been proposed for this application, but its texture does not typically promote ingrowth from surrounding tissue. We have therefore employed a new processing method to produce a fine trabecularized carbon implant. The method for preparing the implant involves infiltrating low temperature pyrolytic carbon into the surface of a carbon core which is wrapped with carbon fabric. This results in a tightly woven porous structure of carbon (carbon fiber diameter: 35-50 microm, maximal pore size >200 microm) with gradually increasing porosity from 15-75%. We implanted test samples percutaneously in a calf for in vivo histological evaluation. Thirty days after implantation epidermal downgrowth was minimal. Microscopic analysis revealed that a thin fibrous capsule surrounded the implant, and mature connective tissue with accompanying blood vessels filled the pores of the fine trabecularized carbon layer. From these results we suggest that fine trabecularized carbon is ideally suited for a percutaneous device system in a permanent left ventricular assist device.
authors.affiliation: Department of Surgery, University of Pittsburgh Medical Center, Pennsylvania 15219, USA.
authors.forename: O
authors.initials: O
authors.lastname: Tagusari
authors.forename: K
authors.initials: K
authors.lastname: Yamazaki
authors.forename: P
authors.initials: P
authors.lastname: Litwak
authors.forename: A
authors.initials: A
authors.lastname: Kojima
authors.forename: E C
authors.initials: EC
authors.lastname: Klein
authors.forename: J F
authors.initials: JF
authors.lastname: Antaki
authors.forename: M
authors.initials: M
authors.lastname: Watach
authors.forename: L M
authors.initials: LM
authors.lastname: Gordon
authors.forename: K
authors.initials: K
authors.lastname: Kono
authors.forename: T
authors.initials: T
authors.lastname: Mori
authors.forename: H
authors.initials: H
authors.lastname: Koyanagi
authors.forename: B P
authors.initials: BP
authors.lastname: Griffith
authors.forename: R L
authors.initials: RL
authors.lastname: Kormos
mesh_terms: D000818:Animals; D001672:Biocompatible Materials / Q000737:chemistry; D001808:Blood Vessels / Q000473:pathology; D002244:Carbon / Q000737:chemistry; D002417:Cattle; D003238:Connective Tissue / Q000473:pathology; D062109:Dermatologic Surgical Procedures; D004817:Epidermis / Q000473:pathology; D006353:Heart-Assist Devices; D006358:Hot Temperature; D006801:Humans; D008297:Male; D009504:Neutrophils / Q000473:pathology; D016062:Porosity; D011474:Prosthesis Design; D019919:Prosthesis Implantation; D012867:Skin / Q000473:pathology; D013499:Surface Properties; D013784:Textiles; D014945:Wound Healing
chemical_list: D001672:Biocompatible Materials; C009139:pyrolytic carbon; D002244:Carbon