title: Energy consumption as a predictor test of the durability of a biological tissue employed in cardiac bioprosthesis.
abstract: The mechanical behavior of the young bull pericardium in a fatigue test has been studied. This material is a similar tissue to those used in valve leaflet construction for a cardiac bioprosthesis. The consumed energy on each test was evaluated and afterwards used as a predictor of the biomaterial strength. Two-hundred and nine samples were tested to cyclical fatigue. The cut-off point to determine the sample quality was whether or not they resisted at least 4500 cycles. Only 22 samples withstood over that point (10.52%). The samples were classified according to their fatigue behavior in excellent, undefined and unsuitable. By using as a reference the consumed energy in the first 25 cycles, we could distinguish correctly (between 93.2 and 96.1%) the unsuitable material and most of the excellent (between 78.1 and 95.2%). From the rejected material 77% was really detachable and from the accepted, only 50% was excellent, with an equal methodology. The receiver operating characteristics curve was employed to establish decision levels when selecting samples, being 0.85 the best area (theoretical maximum value of 1). It is concluded that the energy wasted is a good predictor of the strength of the tissue. More than 90% of the unsuitable material and 50% of the excellent material (5% of all the material) is detected with this method.
authors.affiliation: Servicio de Medicina Interna, Clínica Puerta de Hierro, C/San Martín de Porres n degrees 4, Madrid 28035, España. jmgpaez@telefonica.net
authors.forename: J M
authors.initials: JM
authors.lastname: García Páez
authors.forename: R
authors.initials: R
authors.lastname: Claramunt
authors.forename: E
authors.initials: E
authors.lastname: Jorge Herrero
authors.forename: I
authors.initials: I
authors.lastname: Millan
authors.forename: J R
authors.initials: JR
authors.lastname: Tolmos
authors.forename: L
authors.initials: L
authors.lastname: Alvarez
authors.forename: A
authors.initials: A
authors.lastname: Cordon
authors.forename: A
authors.initials: A
authors.lastname: Rocha
authors.forename: P
authors.initials: P
authors.lastname: Sanz
authors.forename: B
authors.initials: B
authors.lastname: Ayuso
authors.forename: A
authors.initials: A
authors.lastname: Ros
mesh_terms: D000818:Animals; D001696:Biomechanical Phenomena; D001705:Bioprosthesis; D002417:Cattle; D006350:Heart Valve Prosthesis; D008422:Materials Testing; D012372:ROC Curve