Evidence map›Paper›PMID 41334378›Full record

ArticleBioactive materials2026

Small patients - Big needs: A material-based approach to develop miniaturised valves for congenital heart diseases.

Selina Sonntag, Sergio Acosta, Stephan Rütten, José Carlos Rodríguez-Cabello, Achim Zipse, Gunter Kerst, Stefan Jockenhoevel, Alicia Fernández-Colino

Abstract read
In one paragraph

Article in Bioactive materials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Selina SonntagDepartment of Biohybrid & Medical Textiles (BioTex), AME-Institute of Applied Medical Engineering, Helmholtz Institute, RWTH Aachen University, Aachen, Germany.
Sergio AcostaDepartment of Biohybrid & Medical Textiles (BioTex), AME-Institute of Applied Medical Engineering, Helmholtz Institute, RWTH Aachen University, Aachen, Germany.
Stephan RüttenElectron Microscopy Facility, Institute of Pathology, RWTH Aachen University Hospital, Aachen, Germany.
José Carlos Rodríguez-CabelloBioforge Lab, LaDIS, University of Valladolid, CIBER-BBN, Valladolid, Spain.
Achim ZipseOptimed Medizinische Instrumente GmbH, Ettlingen, Germany.
Gunter KerstKlinik für Kinderkardiologie, RWTH Aachen University Hospital, Aachen, Germany.
Stefan JockenhoevelDepartment of Biohybrid & Medical Textiles (BioTex), AME-Institute of Applied Medical Engineering, Helmholtz Institute, RWTH Aachen University, Aachen, Germany.
Alicia Fernández-ColinoDepartment of Biohybrid & Medical Textiles (BioTex), AME-Institute of Applied Medical Engineering, Helmholtz Institute, RWTH Aachen University, Aachen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Paediatric valve replacements cannot be built by simply scaling down bigger-sized valve implants. Innovative approaches that combine novel material systems, processing technologies, and device designs are needed to develop adaptable, durable, and biocompatible miniaturised solutions tailored to the paediatric population with congenital heart diseases. In response to that medical need, in this work, we have developed miniaturised valves following a biohybrid approach that combines synthetic components with bioinspired materials to exploit the optimal properties of each. Specifically, the valve was composed of (i) an electrospun synthetic polymer to provide stability, (ii) protein-engineered elastin to ensure flexibility and low thrombogenicity, and (iii) a tailor-made stent to enable minimally invasive implantation. Our valve implant demonstrated outstanding maximum strain values over 300 %, maximum stresses exceeding 6 MPa, and the ability to withstand burst pressures over 1000 mmHg. Blood compatibility tests revealed lower platelet activation than ePTFE, which is a material used in clinical applications. The hydrodynamics of the miniaturised valve met the standards outlined in the ISO guidelines with regurgitation fractions below 15 % and complete valve closure, indicating excellent functionality. Overall, we have established a material-based approach to address the clinical demand for small valves for children suffering from congenital heart diseases.

Identifiers

PMID41334378
PMCPMC12666365

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.