2012
DOI: 10.2174/157016112799959378
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Tissue Engineering a Small Diameter Vessel Substitute: Engineering Constructs with Select Biomaterials and Cells

Abstract: Cardiovascular disease (CVD) is a leading cause of death and hospitalization worldwide. The need for small caliber vessels ( < 6mm) to treat CVD patients has grown; however the availability of autologous vessels in cardiac and peripheral bypass candidates is limited. The search for an alternative vessel source is widespread with both natural and synthetic tissue engineered materials being investigated as scaffolds. Despite decades of exhaustive studies with decellularized extracellular matrices (ECM) and synth… Show more

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Cited by 27 publications
(26 citation statements)
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“…As drawbacks, these scaffolds impair VSMC infiltration, making the re-cellularization process hard and time-dispersive [19]. Moreover, decellularized biological tissues do not overcome the availability issue, while synthetic scaffolds offer favorable advantages, as higher reproducibility and both controlled microstructure [24] and degradation rate [25,26]. On one hand, porous scaffolds able to promote VSMCs colonization from the external side towards the lumen are required [27,28].…”
Section: Introductionmentioning
confidence: 99%
“…As drawbacks, these scaffolds impair VSMC infiltration, making the re-cellularization process hard and time-dispersive [19]. Moreover, decellularized biological tissues do not overcome the availability issue, while synthetic scaffolds offer favorable advantages, as higher reproducibility and both controlled microstructure [24] and degradation rate [25,26]. On one hand, porous scaffolds able to promote VSMCs colonization from the external side towards the lumen are required [27,28].…”
Section: Introductionmentioning
confidence: 99%
“…When seeded on electrospun scaffolds these same cells displayed poor surface coverage that would severely diminish an engineered tissue’s barrier function. This would be particularly detrimental for engineered blood vessels where platelet aggregation on exposed biomaterial surfaces results in thrombosis and loss of patency [34–36]. Because both scaffolds had similar cell adhesion, this lack of coverage suggests that cells have migratedinto the scaffold which is acceptable for 2D tissue formation.…”
Section: Discussionmentioning
confidence: 99%
“…Pore casting looks to overcome these problems by replacing PDMS with non-deformable, solvent-friendly silicon to produce thin scaffolds with minimum topography and user-defined pore size. These scaffolds may be particularly attractive for the development of small-diameter vascular tissue engineering which has been stymied by thrombogenicity, patency, and bursting [34–41]. …”
Section: Introductionmentioning
confidence: 99%
“…Although autologous veins or arteries are currently the preferred option, the availability of suitable native vessels is frequently in limited supply or restricted dimensions due to pre-existing vascular diseases or disease progression, 1 thus there is an increasing demand for synthetic vascular grafts accompanied by climbing incidences of coronary and peripheral artery diseases. 2 Unfortunately, owing to acute thrombosis and intimal hyperplasia, graft patency of synthetic conduits in small-diameter situations is disappointing so far, 3 therefore, how to improve the long-term patency rate of small-diameter artificial blood vessels remains a major challenge and opportunity for vascular tissue engineering.…”
Section: Introductionmentioning
confidence: 99%