2021
DOI: 10.1016/j.bioactmat.2020.12.021
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Selection of different endothelialization modes and different seed cells for tissue-engineered vascular graft

Abstract: Tissue-engineered vascular grafts (TEVGs) have enormous potential for vascular replacement therapy. However, thrombosis and intimal hyperplasia are important problems associated with TEVGs especially small diameter TEVGs (<6 mm) after transplantation. Endothelialization of TEVGs is a key point to prevent thrombosis. Here, we discuss different types of endothelialization and different seed cells of tissue-engineered vascular grafts. Meanwhile, endothelial heterogeneity is also discussed. Based on it, we provide… Show more

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Cited by 28 publications
(13 citation statements)
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“…Another shortcoming of adding synthetic polymers is an excessive infiltration of the graft by immune cells which thereby represent a majority of the cells within the regenerating blood vessel [20][21][22]. Further, the blending of natural and synthetic polymers does not improve haemocompatibility of the grafts, as rapid and complete endothelialisation of long vascular grafts, which is an important prerequisite to prevent thrombosis, is relatively rare [13,23,24]. To overcome this drawback, antiplatelet or anticoagulant drugs might be conjugated to a scaffold luminal surface [13].…”
Section: Introductionmentioning
confidence: 99%
“…Another shortcoming of adding synthetic polymers is an excessive infiltration of the graft by immune cells which thereby represent a majority of the cells within the regenerating blood vessel [20][21][22]. Further, the blending of natural and synthetic polymers does not improve haemocompatibility of the grafts, as rapid and complete endothelialisation of long vascular grafts, which is an important prerequisite to prevent thrombosis, is relatively rare [13,23,24]. To overcome this drawback, antiplatelet or anticoagulant drugs might be conjugated to a scaffold luminal surface [13].…”
Section: Introductionmentioning
confidence: 99%
“…A closer analog to clinical conditions allows one to better predict graft healing and regeneration in clinic. A huge discrepancy exists between endothelialization outcomes in animal models and those occurring in clinic ( Zilla et al, 2007 ; Sánchez et al, 2018 ; Cai et al, 2021 ). Despite increased graft assessments in different animal models, most studies still use young, healthy small animals.…”
Section: Translation Of Vascular Grafts For Clinics: Success Measuresmentioning
confidence: 99%
“…Vascular grafts (also called vascular scaffolds) have always been a clinically effective treatment strategy for large vascular defects caused by vascular disease or violent invasion [ 4 , 79 , 80 ], such as polyurethane (PU) [ 81 ], polyester (PET) [ 82 ], ePTFE [ 83 ], etc. Although these vascular grafts, when used in larger-diameter vessels (>6 mm) show satisfactory long-term performance, they display inferior performance in small-diameter vessels (<6 mm), mainly because they are prone to intimal hyperplasia (IH) and thrombogenesis [ 84 ]. Given the above-mentioned unsatisfactory factors and the shortcomings of secondary operations caused by non-degradability, it has always been a goal to seek natural materials with better biocompatibility to construct vascular grafts.…”
Section: Mnps For Vascular Repairmentioning
confidence: 99%