Experimental Study of the Propagation Process of Dissection Using an Aortic Silicone Phantom

Background: The mortality of acute aortic dissection (AD) can reach 65~70%. However, it is challenging to follow the progress of AD formation. The purpose of this work was to observe the process of dissection development using a novel tear-embedded silicone phantom. Methods: Silicone phantoms were f...

Full description

Bibliographic Details
Main Authors: Qing-Zhuo Chi, Yang-Yang Ge, Zhen Cao, Li-Li Long, Li-Zhong Mu, Ying He, Yong Luan
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Journal of Functional Biomaterials
Subjects:
Online Access:https://www.mdpi.com/2079-4983/13/4/290
_version_ 1827638347099537408
author Qing-Zhuo Chi
Yang-Yang Ge
Zhen Cao
Li-Li Long
Li-Zhong Mu
Ying He
Yong Luan
author_facet Qing-Zhuo Chi
Yang-Yang Ge
Zhen Cao
Li-Li Long
Li-Zhong Mu
Ying He
Yong Luan
author_sort Qing-Zhuo Chi
collection DOAJ
description Background: The mortality of acute aortic dissection (AD) can reach 65~70%. However, it is challenging to follow the progress of AD formation. The purpose of this work was to observe the process of dissection development using a novel tear-embedded silicone phantom. Methods: Silicone phantoms were fabricated by embedding a torn area and primary tear feature on the inner layer. CT scanning and laser lightening were conducted to observe the variations in thickness and volume of the true lumen (TL) and false lumen (FL) during development. Results: The model with a larger interlayer adhesion damage required a lower pressure to trigger the development of dissection. At the initiation stage of dissection, the volume of TL increased by 25.5%, accompanied by a 19.5% enlargement of tear size. The force analysis based on the change of tear size verified the deduction of the process of interlaminar separation from the earlier studies. Conclusions: The primary tear and the weakening adhesion of the vessel layers are key factors in AD development, suggesting that some forms of primary damage to the arterial wall, in particular, the lumen morphology of vessels with straight inner lumen, should be considered as early risk predictors of AD.
first_indexed 2024-03-09T16:16:09Z
format Article
id doaj.art-c22b8710b8684b83b89ac13939f97df8
institution Directory Open Access Journal
issn 2079-4983
language English
last_indexed 2024-03-09T16:16:09Z
publishDate 2022-12-01
publisher MDPI AG
record_format Article
series Journal of Functional Biomaterials
spelling doaj.art-c22b8710b8684b83b89ac13939f97df82023-11-24T15:50:54ZengMDPI AGJournal of Functional Biomaterials2079-49832022-12-0113429010.3390/jfb13040290Experimental Study of the Propagation Process of Dissection Using an Aortic Silicone PhantomQing-Zhuo Chi0Yang-Yang Ge1Zhen Cao2Li-Li Long3Li-Zhong Mu4Ying He5Yong Luan6Key Laboratory of Ocean Energy Utilization and Energy Conservation of Ministry of Education, Dalian University of Technology, Dalian 116024, ChinaDepartment of Anesthesiology, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, ChinaKey Laboratory of Ocean Energy Utilization and Energy Conservation of Ministry of Education, Dalian University of Technology, Dalian 116024, ChinaKey Laboratory of Ocean Energy Utilization and Energy Conservation of Ministry of Education, Dalian University of Technology, Dalian 116024, ChinaKey Laboratory of Ocean Energy Utilization and Energy Conservation of Ministry of Education, Dalian University of Technology, Dalian 116024, ChinaKey Laboratory of Ocean Energy Utilization and Energy Conservation of Ministry of Education, Dalian University of Technology, Dalian 116024, ChinaDepartment of Anesthesiology, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, ChinaBackground: The mortality of acute aortic dissection (AD) can reach 65~70%. However, it is challenging to follow the progress of AD formation. The purpose of this work was to observe the process of dissection development using a novel tear-embedded silicone phantom. Methods: Silicone phantoms were fabricated by embedding a torn area and primary tear feature on the inner layer. CT scanning and laser lightening were conducted to observe the variations in thickness and volume of the true lumen (TL) and false lumen (FL) during development. Results: The model with a larger interlayer adhesion damage required a lower pressure to trigger the development of dissection. At the initiation stage of dissection, the volume of TL increased by 25.5%, accompanied by a 19.5% enlargement of tear size. The force analysis based on the change of tear size verified the deduction of the process of interlaminar separation from the earlier studies. Conclusions: The primary tear and the weakening adhesion of the vessel layers are key factors in AD development, suggesting that some forms of primary damage to the arterial wall, in particular, the lumen morphology of vessels with straight inner lumen, should be considered as early risk predictors of AD.https://www.mdpi.com/2079-4983/13/4/2903D printingsilicone phantomCT scanningaortic dissectioninterlayer adhesion damage
spellingShingle Qing-Zhuo Chi
Yang-Yang Ge
Zhen Cao
Li-Li Long
Li-Zhong Mu
Ying He
Yong Luan
Experimental Study of the Propagation Process of Dissection Using an Aortic Silicone Phantom
Journal of Functional Biomaterials
3D printing
silicone phantom
CT scanning
aortic dissection
interlayer adhesion damage
title Experimental Study of the Propagation Process of Dissection Using an Aortic Silicone Phantom
title_full Experimental Study of the Propagation Process of Dissection Using an Aortic Silicone Phantom
title_fullStr Experimental Study of the Propagation Process of Dissection Using an Aortic Silicone Phantom
title_full_unstemmed Experimental Study of the Propagation Process of Dissection Using an Aortic Silicone Phantom
title_short Experimental Study of the Propagation Process of Dissection Using an Aortic Silicone Phantom
title_sort experimental study of the propagation process of dissection using an aortic silicone phantom
topic 3D printing
silicone phantom
CT scanning
aortic dissection
interlayer adhesion damage
url https://www.mdpi.com/2079-4983/13/4/290
work_keys_str_mv AT qingzhuochi experimentalstudyofthepropagationprocessofdissectionusinganaorticsiliconephantom
AT yangyangge experimentalstudyofthepropagationprocessofdissectionusinganaorticsiliconephantom
AT zhencao experimentalstudyofthepropagationprocessofdissectionusinganaorticsiliconephantom
AT lililong experimentalstudyofthepropagationprocessofdissectionusinganaorticsiliconephantom
AT lizhongmu experimentalstudyofthepropagationprocessofdissectionusinganaorticsiliconephantom
AT yinghe experimentalstudyofthepropagationprocessofdissectionusinganaorticsiliconephantom
AT yongluan experimentalstudyofthepropagationprocessofdissectionusinganaorticsiliconephantom