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Some Current Problems and New Dimensions of Polymeric Biomaterials for Blood Contacting Applications

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Assisted Circulation

Abstract

Biomaterials properly include materials both of synthetic and natural origins which are in contact with living tissue, blood, and other biologic fluids and are used for prosthetic, diagnostic, therapeutic, and storage applications without adversely affecting the biologic components and the living organism [5, 6, 8–10]. “Anti-thrombogenic” behavior and lack of acute toxicologic response are not necessarily indicative of blood compatibility or long-term tolerability in the physiologic environment [11, 13]. Nevertheless, toxicologic screening of candidate biomaterials is absolutely required in conjunction with other biologic test procedures, including determinations of immunologic response and elimination of possible cause of carcinoma. The latter is especially important in the case of long-term implants. “Thromboresistance” is frequently but erroneously equated with “blood compatibility” merely on the basis that no visible clots are present on the test specimens. However, in many cases clots may either appear in various organs as the result of contact between blood and the foreign materials or cause detrimental biochemical and physiologic manifestations when devices are in prolonged use.

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References

  1. Bokros, J. C., Akins, R. J.: In: Proceedings of the Fourth Buhl International Conference of Materials, Pittsburgh, Pennsylvania, November 16–18, 1971. Pittsburgh, Pennsylvania: Carnegie 1971

    Google Scholar 

  2. Brauner, H., Schaldach, M.: In vivo comparison of blood compatibility of iron-phthalocyanine grafted polyurethanes with other biomaterials using the femoral vein test. First European Conference on Evaluation of Biomaterials, Strasbourg, France, September 25–28, 1977

    Google Scholar 

  3. Bruck, S. D.: Aspects of three types of hydrogels for biomedical applications. J. Biomed. Mater. Res. 7, 387 (1973 a)

    Article  PubMed  CAS  Google Scholar 

  4. Bruck, S. D.: Intrinsic semiconduction, electroconduction of polymers and blood compatibility. Nature 243, 416 (1973 b)

    Article  PubMed  CAS  Google Scholar 

  5. Bruck, S. D.: Blood compatible synthetic polymers — An introduction. Springfield, Illinois: Thomas 1974

    Google Scholar 

  6. Bruck, S. D.: Biomedical applications of polymeric materials and their interactions with blood components: A critical review of current developments. Polymer 16, 409 (1975 a)

    Article  CAS  Google Scholar 

  7. Bruck, S. D.: The role of electrical conduction of macromolecules in certain biomedical problems. Polymer 16, 25 (1975 b)

    Article  CAS  Google Scholar 

  8. Bruck, S. D.: Polymeric materials in the physiological environment. Pure Appl. Chem. 46, 221 (1976)

    Article  CAS  Google Scholar 

  9. Bruck, S. D.: Considerations of species-related hematological differences on the evaluation of biomaterials. Biomater. Med. Devices Artif. Organs 5, 97 (1977 a)

    PubMed  CAS  Google Scholar 

  10. Bruck, S. D.: Interactions of synthetic and natural surfaces with blood in the physiological environment. J. Biomed. Mater. Res. 11, 1 (1977b)

    Article  PubMed  CAS  Google Scholar 

  11. Bruck, S. D.: Current status of blood compatible materials. Second International Symposium for Artificial Organs, Tokyo, Japan, August 26–28, 1977 c

    Google Scholar 

  12. Bruck, S. D.: Smooth, flexible biomaterials. Chem. Technol. 7, 240 (1977d)

    CAS  Google Scholar 

  13. Bruck, S. D.: Physico-chemical aspects of the blood compatibility of polymeric surfaces: Current problems and future directions. 17th Microsymposium on Macromolecules, Prague, Czechoslovakia, August 15–18, 1977 (in press, J. Polym. Sci. Part C)

    Google Scholar 

  14. Bruck, S. D.: The effect of the physiological environment on the mechanical properties of biomaterials in cardiovascular applications. Biomater. Med. Devices Artif. Organs, in press

    Google Scholar 

  15. Chien, S.: Significance of macrorheology and microrheology in atherogenesis. Ann. N.Y. Acad. Sci. 275, 10 (1976)

    Article  PubMed  CAS  Google Scholar 

  16. Clark, R. E., Gould, P. L., Swanson, W. M., Kardos, J. L., Karara, H. M., Skelton, J., Butterworth, G. A. M.: Design and fabrication of prosthetic leaflet heart valves. Biomater. Med. Devices Artif. Organs 2, 379 (1974)

    PubMed  CAS  Google Scholar 

  17. Dormer, L., Klener, P., Roth, Z.: The plasminogen activator of the arterial wall. Thromb. Haemos-tas. 37, 436 (1977)

    Google Scholar 

  18. Grabowski, E. F., Herther, K. K., Didisheim, P.: Human vs. dog platelet adhesion to cuprophane under controlled conditions of whole blood flow. J. Lab. Clin. Med. 88, 368 (1976)

    PubMed  CAS  Google Scholar 

  19. Grabowski, E. F., Didisheim, P., Lewis, J. C., Franta, J. T., Stropp, J. Q.: Platelet adhesion to foreign surfaces under controlled conditions of whole blood flow. Human vs. rabbit, dog, calf, sheep, pig, macaque, and baboon. Trans. Am. Soc. Artif. Intern. Organs 23, 141 (1977)

    PubMed  CAS  Google Scholar 

  20. Haubold, A.: Carbon in prosthetics. Ann. N.Y. Acad. Sci. 283, 383 (1977)

    Article  CAS  Google Scholar 

  21. Heyns, A. P. du, Badenhorst, C. J., Retief, F. P.: ADPase activity of normal and atherosclerotic human aortic intima. Thromb. Haemostas. 37, 429 (1977)

    CAS  Google Scholar 

  22. Hoffman, A. S., Ratner, B. D., Whiffen, J. D.: The thrombogenicity of radiation grafted polymers as measured by the vena cava ring test. Trans, of the 3rd Annual Meeting, Society for Biomaterials and The 9th Annual International Biomaterials Symposium, Vol. 1, p. 27, New Orleans, Louisiana, April 15–19, 1977

    Google Scholar 

  23. Kahn, R. H., Burkel, W. E.: Propagation of pseudointimal lining of vascular prostheses. In Vitro 8, 450 (1973)

    Article  Google Scholar 

  24. Kambic, H., Picha, G., Kiraly, R., Koshino, I., Nosé, Y.: Application of aldehyde treatment to cardiovascular devices. Trans. Am. Soc. Artif. Intern. Organs 22, 664 (1976)

    PubMed  CAS  Google Scholar 

  25. Kantrowitz, A., Tjonneland, S., Krakauer, J., Buhner, A. N., Philipps, S. J., Yahr, W. Z.: Trans. Am. Soc. Artif. Intern. Organs 14, 344 (1968)

    PubMed  CAS  Google Scholar 

  26. Kardos, J. L., Mehta, B. S., Apostolou, S. F., Thies, C., Clark, R. E.: Design, fabrication, and testing of prosthetic blood vessels. Biomater. Med. Devices Artif. Organs 2, 387 (1974)

    PubMed  CAS  Google Scholar 

  27. Kronick, P.: Contract No. NIH-NO1-HV-1–2017, Annual Report, July 1976

    Google Scholar 

  28. Litwak, R. S., Lubkan, S. B., Jurado, R. A., Koffsky, R. M., Ortiz, A. F., Jr., Fischer, A. P., Sherman, J. J.: Postcardiotomy low cardiac output, clinical experience with a left heart assist device. Circulation [Suppl. III] 54, 102 (1976)

    Google Scholar 

  29. Lundell, E. O., Kwiatkowski, G. T., Byck, J. S., Osterholtz, F. D. Creasy, W. S., Stewart, D. D.: In: Hydrogels for medical and related applications. Andrade, J. D. (ed.). American Chemical Society Symposium Series, Washington, D. C., 1976

    Google Scholar 

  30. Marzec, U., Johnston, G. G., Bernstein, E. F.: Platelet function in calves: A study of adhesion, aggregation, release, clotting factor activity and life span. Trans. Am. Soc. Artif. Intern. Organs 21, 581 (1975)

    PubMed  CAS  Google Scholar 

  31. Meyer, F. A., Weisman, Z.: Adhesion of platelets to collagen. The nature of the binding site from competitive inhibition studies. Thromb. Haemostas. 38, 79 (1977)

    Google Scholar 

  32. Norman, J. C.: Intracorporeal partial artificial hearts: Initial results in ten patients. Artif. Organs 1, 41 (1977)

    Article  PubMed  CAS  Google Scholar 

  33. Olsen, D. B., Unger, F., Oster, H., Lawson, J., Kessler, T., Kolff, J., Kolff, W. J.: Thrombus generation within the artificial heart. J. Thorac. Cardiovasc. Surg. 70, 248 (1975)

    PubMed  CAS  Google Scholar 

  34. Olsen, D. B., Razecca, K., Jarvik, R., Kessler, T. R., Pons, L., Kolff, W. J.: Hemocompatibility of polyurethanes for heart replacement. 1st European Conference on Evaluation of Biomaterials, Strasbourg, France, September 25–28, 1977

    Google Scholar 

  35. Perk, K., Frei, Y. F., Herz, A.: Osmotic fragility of red blood cells of young and mature domestic and laboratory animals. Annu. J. Vet. Res. 25, 1241 (1964)

    CAS  Google Scholar 

  36. Piatt, W. R.: Color atlas and textbook of hematology. Philadelphia, Pennsylvania: Lippincott 1969

    Google Scholar 

  37. Robinson, W. J., Igo, S. R., Daly, B. D. T., Migliore, J. J., Hughes, D. A. Edmunds, C. H., Fugua, J. M., Jr., Huffman, F.N., Norman, J. C.: An abdominal left ventricular assist device (ALVAD): Chronic hemodynamic analyses in the calf. Trans. Am. Soc. Artif. Intern. Organs 20, 709 (1974)

    PubMed  Google Scholar 

  38. Sauvage, L. R., Berger, K. E., Wood, S. J., Yates, S. G. II, Smith, J. C., Mansfield, P. B.: Interspecies healing of porous arterial prostheses. Arch. Surg. 109, 698 (1974)

    PubMed  CAS  Google Scholar 

  39. Schalm, O. W., Jain, N. C., Carroll, E. J.: Veterinary Hematology, 3rd ed. Philadelphia, Pennsylvania: Lea and Febriger 1975

    Google Scholar 

  40. Silberberg, A.: Conditions of flow at interfaces with flexible walls. Ann. N.Y. Acad. Sci. 275, 2 (1976)

    Article  PubMed  CAS  Google Scholar 

  41. Unger, F., Fasching, W. R. Losert, U., Stellwag, F., Syre, G., Spaengler, H. P., Wolner, E.: Zur biologischen Prüfung von künstlichen dem Blut zugewandten Oberflächen. Trans. Austrian Soc. Surg., 15th Annual Meeting, Linz, Austria, June 1974

    Google Scholar 

  42. Wolner, E., Deutsch, M., Losert, U., Stellwag, F., Thoma, H., Unger, F., Polzer, K., Navratil, J.: Clinical application of the left heart assist device. Artif. Organs 2, 268 (1978)

    Article  PubMed  CAS  Google Scholar 

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Bruck, S.D. (1979). Some Current Problems and New Dimensions of Polymeric Biomaterials for Blood Contacting Applications. In: Unger, F. (eds) Assisted Circulation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67268-2_48

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  • DOI: https://doi.org/10.1007/978-3-642-67268-2_48

  • Publisher Name: Springer, Berlin, Heidelberg

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