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Biomedical subjects

R R Kowligi

Publications and source records attributed to R R Kowligi.

3 recordsLinked to original sources

Physical properties and testing methods for PTFE cardiovascular patches.

Patching after endarterectomy, especially carotid artery surgery, is a common procedure to repair and close the surgical site. Both synthetic and natural materials can be used, but saphenous vein is preferred due to its greater long-term patency. In situations where it is not possible to use the saphenous vein, both Dacron and expanded polytetrafluoroethylene (ePTFE) patches have been used successfully. Expanded PTFE patches are readily available, soft and pliable, have excellent biocompatibility and do not require preclotting prior to implantation. Comparison of two types of ePTFE patches versus natural vessel show that they have more than adequate properties for their intended use.

Blood Vessel Prosthesis↗

Fabrication and characterization of small-diameter vascular prostheses.

We have developed a process to fabricate polyurethane vascular grafts of various dimensions and porosities in our laboratory. A primary feature of the presented fabrication technique is the ability to control surface porosity and roughness, and bulk mechanical properties. The method is based on the spray application of a fine mixture of polymer solution and nitrogen gas bubbles onto a lathe-mounted mandrel. The technique was successfully tested with Tecoflex, a linear segmented aliphatic polyurethane. Other urethane polymers can be used as well. Several polymer coats are applied in a semiautomated process, at the end of which the polymer coating is dried and the tube is slipped off the mandrel. It is the purpose of this paper to describe the fabrication process and present results of the evaluation of grafts. Wall structure was evaluated using scanning electron microscopy and compliance was measured in a specially designed testing apparatus. We developed methods to quantify kink resistance and suture retention capacity of the grafts. These characteristics were correlated with graft fabrication variables: mandrel rpm, horizontal speed of the spray nozzle, gas and polymer solution flow rates. We were able to routinely produce 3-6-mm-ID grafts with 0.5-1.2-mm wall thickness and average bulk pore sizes of 10-250 microns; the wall porosity could be varied between 30 and 70%. Compliance values of the grafts were comparable with corresponding values of carotid and femoral arteries of dogs.

Biocompatible Materials↗

Synthetic vascular graft fabrication by a precipitation-flotation method.

The authors report a new technique for fabricating synthetic vascular grafts. It involves spraying a polymer solution (generated by mixing polymer solution and nitrogen gas in a spray nozzle) onto the surface of a flowing nonsolvent liquid (water): polymer fibers form during precipitation of the spray drops as they travel on the water surface, until picked up by a partially submerged rotating mandrel. Depending on process conditions, these fibers may aggregate to form a continuous layer or remain separated until they are picked up. A number of independent process variables allow control of characteristics of the conduits: gas and polymer solution feed rates, nozzle traverse speed, nonsolvent (water) flow rate, spray-mandrel spacing, and mandrel rpm. The SEM reveals that the graft wall consists of numerous fused polymeric fibers arrayed in both the circumferential and axial directions. The inner surface resembles a mesh of closely spaced fused fibers. The conduits have walls with interconnected pores (water permeabilities between 0.05 to 7.0 ml/min-cm2); nonporous surfaces also can be made. Tensile stress of the grafts at failure (in radial direction) varied between 0.05 to 2.3 MPa, whereas elongation at break ranged between 150 to 600%, depending on the porosity and fabrication conditions. A major advantage of this technique is its ability to produce grafts of a wide variety of fiber sizes and fusion characteristics in an inexpensive, safe, and reliable fashion.

Blood Vessel Prosthesis↗