Experimental Evaluation of Mechanical Haemolysis with Starr-Edwards, Kay-Shiley and Björk-Shiley Valves
1976
Mechanical cell damage was studied in vitro with three types of prostheses: Starr-Edwards, Kay-Shiley and Bjork-Shiley valves. Mechanical cell damage was found to be closely related to the flow characteristics in the prosthesis. Considering valves of similar orifice diameter, Bjork-Shiley valves produced the lowest rate of haemolysis. This is due to the improved haemodynamic characteristics of the valve which resulted from the laminar type of flow. With Starr-Edwards valves, smaller sizes produced unacceptably high rates of haemolysis. Increasing the mean forward flow across the valve resulted in a disproportionate rise in the energy loss and the rate of haemolysis when compared with Bjork-Shiley valves of similar annulus diameters.
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