The Evolution of Tissue Engineered Vascular Graft Technologies: From Preclinical Trials to Advancing Patient Care

Currently available synthetic grafts have contributed to improved outcomes in cardiovascular surgery. However, the implementation of these graft materials at small diameters have demonstrated poor patency, inhibiting their use for coronary artery bypass surgery in adults. Additionally, when applied...

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Main Authors: Yuichi Matsuzaki, Kelly John, Toshihiro Shoji, Toshiharu Shinoka
Format: Article
Language:English
Published: MDPI AG 2019-03-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/9/7/1274
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author Yuichi Matsuzaki
Kelly John
Toshihiro Shoji
Toshiharu Shinoka
author_facet Yuichi Matsuzaki
Kelly John
Toshihiro Shoji
Toshiharu Shinoka
author_sort Yuichi Matsuzaki
collection DOAJ
description Currently available synthetic grafts have contributed to improved outcomes in cardiovascular surgery. However, the implementation of these graft materials at small diameters have demonstrated poor patency, inhibiting their use for coronary artery bypass surgery in adults. Additionally, when applied to a pediatric patient population, they are handicapped by their lack of growth ability. Tissue engineered alternatives could possibly address these limitations by producing biocompatible implants with the ability to repair, remodel, grow, and regenerate. A tissue engineered vascular graft (TEVG) generally consists of a scaffold, seeded cells, and the appropriate environmental cues (i.e., growth factors, physical stimulation) to induce tissue formation. This review critically appraises current state-of-the-art techniques for vascular graft production. We additionally examine current graft shortcomings and future prospects, as they relate to cardiovascular surgery, from two major clinical trials.
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spelling doaj.art-9b78abfeaaef4b46b352499f70aeccfa2022-12-21T18:18:33ZengMDPI AGApplied Sciences2076-34172019-03-0197127410.3390/app9071274app9071274The Evolution of Tissue Engineered Vascular Graft Technologies: From Preclinical Trials to Advancing Patient CareYuichi Matsuzaki0Kelly John1Toshihiro Shoji2Toshiharu Shinoka3Center for Regenerative Medicine, Nationwide Children’s Hospital, Columbus, OH 43205, USACenter for Regenerative Medicine, Nationwide Children’s Hospital, Columbus, OH 43205, USACenter for Regenerative Medicine, Nationwide Children’s Hospital, Columbus, OH 43205, USACenter for Regenerative Medicine, Nationwide Children’s Hospital, Columbus, OH 43205, USACurrently available synthetic grafts have contributed to improved outcomes in cardiovascular surgery. However, the implementation of these graft materials at small diameters have demonstrated poor patency, inhibiting their use for coronary artery bypass surgery in adults. Additionally, when applied to a pediatric patient population, they are handicapped by their lack of growth ability. Tissue engineered alternatives could possibly address these limitations by producing biocompatible implants with the ability to repair, remodel, grow, and regenerate. A tissue engineered vascular graft (TEVG) generally consists of a scaffold, seeded cells, and the appropriate environmental cues (i.e., growth factors, physical stimulation) to induce tissue formation. This review critically appraises current state-of-the-art techniques for vascular graft production. We additionally examine current graft shortcomings and future prospects, as they relate to cardiovascular surgery, from two major clinical trials.https://www.mdpi.com/2076-3417/9/7/1274tissue-engineered vascular graftsbiodegradable materialcongenital heart surgeryarteriovenous shunts
spellingShingle Yuichi Matsuzaki
Kelly John
Toshihiro Shoji
Toshiharu Shinoka
The Evolution of Tissue Engineered Vascular Graft Technologies: From Preclinical Trials to Advancing Patient Care
Applied Sciences
tissue-engineered vascular grafts
biodegradable material
congenital heart surgery
arteriovenous shunts
title The Evolution of Tissue Engineered Vascular Graft Technologies: From Preclinical Trials to Advancing Patient Care
title_full The Evolution of Tissue Engineered Vascular Graft Technologies: From Preclinical Trials to Advancing Patient Care
title_fullStr The Evolution of Tissue Engineered Vascular Graft Technologies: From Preclinical Trials to Advancing Patient Care
title_full_unstemmed The Evolution of Tissue Engineered Vascular Graft Technologies: From Preclinical Trials to Advancing Patient Care
title_short The Evolution of Tissue Engineered Vascular Graft Technologies: From Preclinical Trials to Advancing Patient Care
title_sort evolution of tissue engineered vascular graft technologies from preclinical trials to advancing patient care
topic tissue-engineered vascular grafts
biodegradable material
congenital heart surgery
arteriovenous shunts
url https://www.mdpi.com/2076-3417/9/7/1274
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