Abstract
In spite of advances have been made during the past decades, the problems associated with small-diameter vascular grafts, including low patency and compliance mismatch and in consequence of that thrombosis, aneurysm and intimal hyperplasia are still challenges. To address these problems, net polyurethane (PU) and poly (ethylene terephthalate) (PET) polymers and hybrid PU/PET were electrospun to create three different types of small-diameter vascular scaffolds due to their unique physicochemical characteristics: PU, PET, and novel hybrid PU/PET scaffolds. The results show that the PU and PET composite can improve the mechanical properties of the tissue-engineered vascular scaffolds in the range of the native vessels where the non-cytotoxicity characteristic of these well-known polymers is still immutable. The compliance and stiffness factor of the fabricated hybrid scaffolds were 4.468 ± 0.177 and 22.718 ± 0.896%/0.01 mmHg, respectively, which were significantly different with that of the net PU and PET electrospun scaffolds. Other properties such as ultimate tensile stress (UTS) (3.56 ± 1.21 MPa) were also in good accordance with the native vessels. Furthermore, FT-IR analysis testified the presence of both PU and PET in the hybrid scaffolds. Overall, we were able to fabricate a hybrid scaffold as a small-diameter vascular graft that mechanically matched the gold standard of blood vessel substitution.
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References
Ajalloueian, F., et al. Biomechanical and biocompatibility characteristics of electrospun polymeric tracheal scaffolds. Biomaterials 35(20):5307–5315, 2014.
ANSI/AAMI/ISO7198. Cardiovascular implants—tubular vascular prostheses. 1998/2001/(R)2004.
Bergmeister, H., et al. Biodegradable, thermoplastic polyurethane grafts for small diameter vascular replacements. Acta Biomater. 11:104–113, 2015.
Browning, M. B., et al. Multilayer vascular grafts based on collagen-mimetic proteins. Acta Biomater. 8:1010–1021, 2012.
Diban, N., et al. Hollow fibers of poly(lactide-co-glycolide) and poly(e-caprolactone) blends for vascular tissue engineering applications. Acta Biomater. 9:6450–6458, 2013.
Ghezzi, C. E., et al. Immediate production of a tubular dense collagen construct with bioinspired mechanical properties. Acta Biomater. 8:1813–1825, 2012.
Grasl, C., et al. Electrospun polyurethane vascular grafts: in vitro mechanical behavior and endothelial adhesion molecule expression. J. Biomed. Mater. Res. 93A:716–723, 2010.
Hadjizadeh, A., A. Ajji, and M. N. Bureau. Nano/micro electro-spun polyethylene terephthalate fibrous mat preparation and characterization. J. Mech. Behav. Biomed. Mater. 4:340–351, 2011.
Hadjizadeha, A., A. Ajji, and M. N. Bureau. Preparation and characterization of NaOH treated micro-fibrous polyethylene terephthalate nonwovens for biomedical application. J. Mech. Behav. Biomed. Mater. 3:574–583, 2010.
Haimovich, B., et al. A new method for membrane construction on ePTFE vascular grafts: effect on surface morphology and platelet adhesion. J. Appl. Polym. Sci. 63(11):1393–1400, 1997.
Han, F., et al. Performance of a multilayered small-diameter vascular scaffold dual-loaded with VEGF and PDGF. Biomaterials 34:7302–7313, 2013.
Hasan, A., et al. Electrospun scaffolds for tissue engineering of vascular grafts. Acta Biomater. 10:11–25, 2014.
He, W., et al. The preparation and performance of a new polyurethane vascular prosthesis. Cell Biochem. Biophys. 66(3):855–866, 2013.
Huang, Z.-M., et al. A review on polymer nanofibers by electrospinning and their applications in nanocomposites. Compos. Sci. Technol. 63:2223–2253, 2003.
Janik, H., and M. Marzec. A review: fabrication of porous polyurethane scaffolds. Mater. Sci. Eng. C 48:586–591, 2015.
Jing, X., et al. Electrospinning thermoplastic polyurethane/graphene oxide scaffolds for small diameter vascular graft applications. Mater. Sci. Eng. C 49:40–50, 2015.
Kang, Y. K., et al. Development of thermoplastic polyurethane vascular prostheses. J. Appl. Polym. Sci. 110(5):3267–3274, 2008.
Li, C., et al. Comprehensive mechanical characterization of PLA fabric combined with PCL to form a composite structure vascular graft. J. Mech. Behav. Biomed. Mater. 69:39–49, 2017.
Ma, Z., et al. Surface engineering of electrospun polyethylene terephthalate (PET) nanofibers towards development of a new material for blood vessel engineering. Biomaterials 26:2527–2536, 2005.
Marelli, B., et al. Compliant electrospun silk fibroin tubes for small vessel bypass grafting. Acta Biomater. 6:4019–4026, 2010.
Matsuda, T., et al. Mechano-active scaffold design of small-diameter artificial graft made of electrospun segmented polyurethane fabrics. J. Biomed. Mater. Res. 73A:125–131, 2005.
Mercado-Pagán, Á. E., et al. Synthesis and characterization of polycaprolactone urethane hollow fiber membranes as small diameter vascular grafts. Mater. Sci. Eng. C 64:61–73, 2016.
Mirbagheri, M., D. Mohebbi-Kalhori, and N. Jirofti. Evaluation of mechanical properties and medical applications of polycaprolactone small diameter artificial blood vessels. Int. J. Basic Sci. Med. 2(1):58–70, 2017.
Mohebbi-Kalhori, D., et al. A novel automated cell-seeding device for tissue engineering of tubular scaffolds: design and functional validation. J. Tissue Eng. Regen. Med. 6(9):710–720, 2012.
Montini-Ballarin, F., et al. Mechanical behavior of bilayered small-diameter nanofibrous structures as biomimetic vascular grafts. J. Mech. Behav. Biomed. Mater. 60:220–233, 2016.
Moreno, M. J., et al. Development of a compliant and cytocompatible micro-fibrous polyethylene terephthalate vascular scaffold. J. Biomed. Mater. Res. 97B:201–214, 2011.
Mugnai, D., J.-C. Tille, W. Mrowczynski, S. de Valence, X. Montet, M. Moller, and B. H. Walpoth. Experimental noninferiority trial of synthetic small-caliber biodegradable versus stable vascular grafts. J. Thorac. Cardiovasc. Surg. 146:400–407, 2013.
Najafi, S. J., A. A. Gharehaghaji, and S. M. Etrati. Fabrication and characterization of elastic hollow nanofibrous PU yarn. Mater. Des. 99:328–334, 2016.
Nguyen, T.-H., et al. A hybrid electrospun PU/PCL scaffold satisfied the requirements of blood vessel prosthesis in terms of mechanical properties, pore size, and biocompatibility. J. Biomater. Sci. Polym. Ed. 24(14):1692–1706, 2013.
Sarkar, S., et al. The mechanical properties of infrainguinal vascular bypass grafts: their role in influencing patency. Eur. J. Vasc. Endovasc. Surg. 31:627–636, 2006.
Sell, S. A., et al. Electrospinning of collagen/biopolymers for regenerative medicine and cardiovascular tissue engineering. Adv. Drug Deliv. Rev. 61:1007–1019, 2009.
Soletti, L., et al. A bilayered elastomeric scaffold for tissue engineering of small diameter vascular grafts. Acta Biomater. 6:110–122, 2010.
Wang, N., et al. In vitro evaluation of essential mechanical properties and cell behaviors of a novel polylactic-co-glycolic acid (PLGA)-based tubular scaffold for small-diameter vascular tissue engineering. Polymers 9(8):318, 2017.
Wissink, M. J. B., and J. Feijen. Tissue-engineered vascular grafts for small-diameter arterial replacement. In: Polymer Based Systems on Tissue Engineering, Replacement and Regeneration. Dordrecht: Springer, 2002, pp. 391–405.
Xue, L., and H. P. Greisler. Biomaterials in the development and future of vascular grafts. J. Vasc. Surg. 37:472–480, 2003.
Acknowledgments
The Authors gratefully acknowledge the University of Sistan and Baluchestan for supporting this research (Grant No. G932/2/1006).
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The Second author has received research grants from the University of Sistan and Baluchestan (Grant No. G932/2/1006). The first author declares that she has no conflict of interest. The second author declares that he has no conflict of interest. The third author declares that she has no conflict of interest.
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This article does not contain any studies with human participants or animals performed by any of the authors.
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Associate Editor John M. Tarbell oversaw the review of this article.
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Khodadoust, M., Mohebbi-Kalhori, D. & Jirofti, N. Fabrication and Characterization of Electrospun Bi-Hybrid PU/PET Scaffolds for Small-Diameter Vascular Grafts Applications. Cardiovasc Eng Tech 9, 73–83 (2018). https://doi.org/10.1007/s13239-017-0338-6
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DOI: https://doi.org/10.1007/s13239-017-0338-6