TY - THES A1 - Löblein, Jochen T1 - Development of Dynamic Self-Initiated Photografting and Photopolymerization T1 - Entwicklung von dynamischem Self-initiated Photografting and Photopolymerization N2 - After examining suitable parameters for a newly designed system, dynamic SIPGP could be developed. For the first time, SIPGP was performed while applying a constant flow of monomer solution through the reaction system. This added a new parameter: the flow rate (rfl). Accordingly, this parameter was examined, comparing dynamic to static SIPGP. It could be shown, that by applying higher rfl to the system, the contact angle increases, which indicates a slower coating. The flow patterns inside the reactor were then modelled and calculated. These calculations indicated, that, due to higher flow velocities, the contact angle on the coated samples would be lower on the sides of the sample and higher in the middle. This finding was verified by contact angle measurements. The influence of dynamic SIPGP on the temperature inside the reaction chamber during the reaction was examined by temperature sensors inside the reactor. This showed, that the constant flow of monomer solution can be utilized to decrease the warming of the reaction solution during the reaction. Finally it was shown, that dynamic SIPGP can decrease the formation of bulk polymer on the sample, which is forming during the reaction. This enables SIPGP to fabricate more homogeneous coatings by applying a constant monomer flow. N2 - Nachdem für ein neu entworfenes System geeignete Parameter untersucht wurden, konnte das dynamische SIPGP entwickelt werden. Zum ersten Mal wurde SIPGP durchgeführt, während ein konstanter Fluss von Monomerlösung durch das System geleitet wurde. Das fügte einen neuen Parameter hinzu: die Flussrate (rfl). Diese wurde untersucht, indem dynamisches und statisches SIPGP verglichen wurden. Es konnte gezeigt werden, dass mit höheren rfl der Kontaktwinkel anstieg, was auf eine langsamere Beschichtung hindeutet. Daraufhin wurden die Flussmuster innerhalb des Reaktors modelliert und berechnet. Diese Berechnungen deuteten darauf hin, dass der Kontaktwinkel an den Seiten der beschichteten Probe, durch erhöhte Fließgeschwindigkeiten, höher sind als in der Mitte. Dies wurde dann auch durch Kontaktwinkel-Messungen bestätigt. Der Einfluss von dynamischem SIPGP auf die Temperatur innerhalb der Reaktionskammer während der Reaktion wurde mit Temperatursensoren innerhalb des Reaktors untersucht. Dies zeigte, dass der konstante Fluss von Monomerlösung dazu genutzt werden kann, die Erwärmung der Reaktionslösung während der Reaktion zu verringern. Abschließend wurde gezeigt, dass dynamisches SIPGP die Entstehung von bulk-Polymer auf der Probe, welches während der Reaktion entsteht, reduzieren kann. Dadurch ist es möglich durch SIPGP gleichmäßigere Beschichtungen zu erzeugen, indem ein konstanter Monomerfluss hinzugefügt wird. KW - Hydrogel KW - Beschichtung KW - SIPGP KW - Surface modifiaction KW - dynamic Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-251828 ER - TY - JOUR A1 - Morbach, Caroline A1 - Bellavia, Diego A1 - Störk, Stefan A1 - Sugeng, Lissa T1 - Systolic characteristics and dynamic changes of the mitral valve in different grades of ischemic mitral regurgitation - insights from 3D transesophageal echocardiography JF - BMC Cardiovascular Disorders N2 - Background: Mitral regurgitation in ischemic heart disease (IMR) is a strong predictor of outcome but until now, pathophysiology is not sufficiently understood and treatment is not satisfying. We aimed to systematically evaluate structural and functional mitral valve leaflet and annular characteristics in patients with IMR to determine the differences in geometric and dynamic changes of the MV between significant and mild IMR. Methods: Thirty-seven patients with IMR (18 mild (m)MR, 19 significant (moderate+severe) (s)MR) and 33 controls underwent TEE. 3D volumes were analyzed using 3D feature-tracking software. Results: All IMR patients showed a loss of mitral annular motility and non-planarity, whereas mitral annulus dilation and leaflet enlargement occurred in sMR only. Active-posterior-leaflet-area decreased in early systole in all three groups accompanied by an increase in active-anterior-leaflet-area in early systole in controls and mMR but only in late systole in sMR. Conclusions: In addition to a significant enlargement and loss in motility of the MV annulus, patients with significant IMR showed a spatio-temporal alteration of the mitral valve coaptation line due to a delayed increase in active-anterior-leaflet-area. This abnormality is likely to contribute to IMR severity and is worth the evaluation of becoming a parameter for clinical decision-making. Further, addressing the leaflets aiming to increase the active leaflet-area is a promising therapeutic approach for significant IMR. Additional studies with a larger sample size and post-operative assessment are warranted to further validate our findings and help understand the dynamics of the mitral valve. KW - coaptation line KW - dynamic KW - functional regurgitation KW - ischemic KW - leaflet KW - mitral valve KW - tenting KW - therapeutic approach KW - three-dimensional echocardiography Y1 - 2018 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-175642 VL - 18 IS - 93 ER -