Heparin-Eluting Tissue-Engineered Bioabsorbable Vascular Grafts

The creation of small-diameter tissue-engineered vascular grafts using biodegradable materials has the potential to change the quality of cardiovascular surgery in the future. The implantation of these tissue-engineered arterial grafts has yet to reach clinical application. One of the reasons for th...

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Main Authors: Yuichi Matsuzaki, Anudari Ulziibayar, Toshihiro Shoji, Toshiharu Shinoka
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/10/4563
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author Yuichi Matsuzaki
Anudari Ulziibayar
Toshihiro Shoji
Toshiharu Shinoka
author_facet Yuichi Matsuzaki
Anudari Ulziibayar
Toshihiro Shoji
Toshiharu Shinoka
author_sort Yuichi Matsuzaki
collection DOAJ
description The creation of small-diameter tissue-engineered vascular grafts using biodegradable materials has the potential to change the quality of cardiovascular surgery in the future. The implantation of these tissue-engineered arterial grafts has yet to reach clinical application. One of the reasons for this is thrombus occlusion of the graft in the acute phase. In this paper, we first describe the causes of accelerated thrombus formation and discuss the drugs that are thought to inhibit thrombus formation. We then review the latest research on methods to locally bind the anticoagulant heparin to biodegradable materials and methods to extend the duration of sustained heparin release. We also discuss the results of studies using large animal models and the challenges that need to be overcome for future clinical applications.
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spelling doaj.art-4d5d2269cfb64b7b8e990d9931ba71e12023-11-21T20:04:32ZengMDPI AGApplied Sciences2076-34172021-05-011110456310.3390/app11104563Heparin-Eluting Tissue-Engineered Bioabsorbable Vascular GraftsYuichi Matsuzaki0Anudari Ulziibayar1Toshihiro Shoji2Toshiharu Shinoka3Center for Regenerative Medicine, The Abigail Wexner Research Institute, Nationwide Children’s Hospital, Columbus, OH 43205, USACenter for Regenerative Medicine, The Abigail Wexner Research Institute, Nationwide Children’s Hospital, Columbus, OH 43205, USACenter for Regenerative Medicine, The Abigail Wexner Research Institute, Nationwide Children’s Hospital, Columbus, OH 43205, USACenter for Regenerative Medicine, The Abigail Wexner Research Institute, Nationwide Children’s Hospital, Columbus, OH 43205, USAThe creation of small-diameter tissue-engineered vascular grafts using biodegradable materials has the potential to change the quality of cardiovascular surgery in the future. The implantation of these tissue-engineered arterial grafts has yet to reach clinical application. One of the reasons for this is thrombus occlusion of the graft in the acute phase. In this paper, we first describe the causes of accelerated thrombus formation and discuss the drugs that are thought to inhibit thrombus formation. We then review the latest research on methods to locally bind the anticoagulant heparin to biodegradable materials and methods to extend the duration of sustained heparin release. We also discuss the results of studies using large animal models and the challenges that need to be overcome for future clinical applications.https://www.mdpi.com/2076-3417/11/10/4563tissue-engineered vascular graftsbiodegradable materialanticoagulationmedicationheparinlarge-animal study
spellingShingle Yuichi Matsuzaki
Anudari Ulziibayar
Toshihiro Shoji
Toshiharu Shinoka
Heparin-Eluting Tissue-Engineered Bioabsorbable Vascular Grafts
Applied Sciences
tissue-engineered vascular grafts
biodegradable material
anticoagulation
medication
heparin
large-animal study
title Heparin-Eluting Tissue-Engineered Bioabsorbable Vascular Grafts
title_full Heparin-Eluting Tissue-Engineered Bioabsorbable Vascular Grafts
title_fullStr Heparin-Eluting Tissue-Engineered Bioabsorbable Vascular Grafts
title_full_unstemmed Heparin-Eluting Tissue-Engineered Bioabsorbable Vascular Grafts
title_short Heparin-Eluting Tissue-Engineered Bioabsorbable Vascular Grafts
title_sort heparin eluting tissue engineered bioabsorbable vascular grafts
topic tissue-engineered vascular grafts
biodegradable material
anticoagulation
medication
heparin
large-animal study
url https://www.mdpi.com/2076-3417/11/10/4563
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AT anudariulziibayar heparinelutingtissueengineeredbioabsorbablevasculargrafts
AT toshihiroshoji heparinelutingtissueengineeredbioabsorbablevasculargrafts
AT toshiharushinoka heparinelutingtissueengineeredbioabsorbablevasculargrafts