Potential of Biodegradable Synthetic Polymers for Use in Small-diameter Vascular Engineering

Bypass or replacement surgery is required in patients with chronic atherosclerotic artery occlusions. In the absence of an autogenous vein, synthetic polytetrafluoroethylene prostheses can be used. However, these prostheses have shown unsatisfactory bypass grafting results in small-diameter arteries...

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Published in	Macromolecular research Vol. 30; no. 7; pp. 425 - 437
Main Authors	Osipova, Olesia, Laktionov, Pavel, Karpenko, Andrey
Format	Journal Article
Language	English
Published	Seoul The Polymer Society of Korea 01.07.2022 Springer Springer Nature B.V 한국고분자학회
Subjects	Arteries Atherosclerosis Biocompatibility Biodegradability Biodegradation Biopolymers Blood clot Blood vessels Characterization and Evaluation of Materials Chemistry Chemistry and Materials Science Complex Fluids and Microfluidics Copolymers Coronary artery bypass Hemodynamics Implants, Artificial Nanochemistry Nanotechnology Physical Chemistry Polycaprolactone Polyglycolic acid Polyhydroxybutyrate Polymer industry Polymer Sciences Polymers Polytetrafluoroethylene Polyurethane Polyurethane resins Prostheses Prosthesis Review Soft and Granular Matter Thrombosis Tissue engineering Transplantation of organs, tissues, etc Vascular tissue 고분자공학 small vascular graft vascular bypass grafting biodegradable scaffolds polymeric materials synthetic polymers
Online Access	Get full text
ISSN	1598-5032 2092-7673
DOI	10.1007/s13233-022-0056-2

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Abstract	Bypass or replacement surgery is required in patients with chronic atherosclerotic artery occlusions. In the absence of an autogenous vein, synthetic polytetrafluoroethylene prostheses can be used. However, these prostheses have shown unsatisfactory bypass grafting results in small-diameter arteries less than 6 mm in diameter. In addition, xenogeneic vessels and vascular prostheses made from biopolymers tend to have poor mechanical strength. The development of vascular prostheses to replace small-diameter vessels is therefore necessary because their hemodynamic properties provoke graft thrombosis. This article provides an overview of the biodegradable synthetic polymers that are used for the experimental fabrication of small-diameter vascular prostheses. Information on the physicochemical properties of various biodegradable synthetic polymers is presented, and there is also a discussion of the methods capable of increasing the hemo- and biocompatibility of the synthetic materials. Currently the most studied polymers in vascular tissue engineering are polyhydroxybutyrate, polyglycolic acid, polycaprolactone, polyurethane and their corresponding copolymers. The use of copolymers and hybrid materials makes it possible to combine the desirable properties of different polymers. Among these polymers, the polyurethanes are the most promising for the development of small-diameter vessel engineering since their structure can provide different rates of biodegradation, strength, and elasticity.
AbstractList	Bypass or replacement surgery is required in patients with chronic atherosclerotic artery occlusions. In the absence of an autogenous vein, synthetic polytetrafluoroethylene prostheses can be used. However, these prostheses have shown unsatisfactory bypass grafting results in small-diameter arteries less than 6 mm in diameter. In addition, xenogeneic vessels and vascular prostheses made from biopolymers tend to have poor mechanical strength. The development of vascular prostheses to replace small-diameter vessels is therefore necessary because their hemodynamic properties provoke graft thrombosis. This article provides an overview of the biodegradable synthetic polymers that are used for the experimental fabrication of small-diameter vascular prostheses. Information on the physicochemical properties of various biodegradable synthetic polymers is presented, and there is also a discussion of the methods capable of increasing the hemo-and biocompatibility of the synthetic materials. Currently the most studied polymers in vascular tissue engineering are polyhydroxybutyrate, polyglycolic acid, polycaprolactone, polyurethane and their corresponding copolymers. The use of copolymers and hybrid materials makes it possible to combine the desirable properties of different polymers. Among these polymers, the polyurethanes are the most promising for the development of small-diameter vessel engineering since their structure can provide different rates of biodegradation, strength, and elasticity. Keywords: small vascular graft, vascular bypass grafting, synthetic polymers, polymeric materials, biodegradable scaffolds. Bypass or replacement surgery is required in patients with chronic atherosclerotic artery occlusions. In the absence of an autogenous vein, synthetic polytetrafluoroethylene prostheses can be used. However, these prostheses have shown unsatisfactory bypass grafting results in small-diameter arteries less than 6 mm in diameter. In addition, xenogeneic vessels and vascular prostheses made from biopolymers tend to have poor mechanical strength. The development of vascular prostheses to replace small-diameter vessels is therefore necessary because their hemodynamic properties provoke graft thrombosis. This article provides an overview of the biodegradable synthetic polymers that are used for the experimental fabrication of small-diameter vascular prostheses. Information on the physicochemical properties of various biodegradable synthetic polymers is presented, and there is also a discussion of the methods capable of increasing the hemo-and biocompatibility of the synthetic materials. Currently the most studied polymers in vascular tissue engineering are polyhydroxybutyrate, polyglycolic acid, polycaprolactone, polyurethane and their corresponding copolymers. The use of copolymers and hybrid materials makes it possible to combine the desirable properties of different polymers. Among these polymers, the polyurethanes are the most promising for the development of small-diameter vessel engineering since their structure can provide different rates of biodegradation, strength, and elasticity. Bypass or replacement surgery is required in patients with chronic atherosclerotic artery occlusions. In the absence of an autogenous vein, synthetic polytetrafluoroethylene prostheses can be used. However, these prostheses have shown unsatisfactory bypass grafting results in small-diameter arteries less than 6 mm in diameter. In addition, xenogeneic vessels and vascular prostheses made from biopolymers tend to have poor mechanical strength. The development of vascular prostheses to replace small-diameter vessels is therefore necessary because their hemodynamic properties provoke graft thrombosis. This article provides an overview of the biodegradable synthetic polymers that are used for the experimental fabrication of small-diameter vascular prostheses. Information on the physicochemical properties of various biodegradable synthetic polymers is presented, and there is also a discussion of the methods capable of increasing the hemo- and biocompatibility of the synthetic materials. Currently the most studied polymers in vascular tissue engineering are polyhydroxybutyrate, polyglycolic acid, polycaprolactone, polyurethane and their corresponding copolymers. The use of copolymers and hybrid materials makes it possible to combine the desirable properties of different polymers. Among these polymers, the polyurethanes are the most promising for the development of small-diameter vessel engineering since their structure can provide different rates of biodegradation, strength, and elasticity. KCI Citation Count: 2
Audience	Academic
Author	Osipova, Olesia Laktionov, Pavel Karpenko, Andrey
Author_xml	– sequence: 1 givenname: Olesia surname: Osipova fullname: Osipova, Olesia email: osipova_o@meshalkin.ru organization: Center for Vascular and Hybrid Surgery, Meshalkin National Medical Research Center – sequence: 2 givenname: Pavel surname: Laktionov fullname: Laktionov, Pavel organization: Center for Vascular and Hybrid Surgery, Meshalkin National Medical Research Center, Institute of Chemical Biology and Fundamental Medicine, Russian Academy of Sciences – sequence: 3 givenname: Andrey surname: Karpenko fullname: Karpenko, Andrey organization: Center for Vascular and Hybrid Surgery, Meshalkin National Medical Research Center
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CitedBy_id	crossref_primary_10_1080_09205063_2022_2161296 crossref_primary_10_1016_j_mtcomm_2023_105981 crossref_primary_10_1016_j_polymertesting_2023_108155 crossref_primary_10_1002_mba2_88 crossref_primary_10_1007_s13233_024_00339_6
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Snippet	Bypass or replacement surgery is required in patients with chronic atherosclerotic artery occlusions. In the absence of an autogenous vein, synthetic...
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SubjectTerms	Arteries Atherosclerosis Biocompatibility Biodegradability Biodegradation Biopolymers Blood clot Blood vessels Characterization and Evaluation of Materials Chemistry Chemistry and Materials Science Complex Fluids and Microfluidics Copolymers Coronary artery bypass Hemodynamics Implants, Artificial Nanochemistry Nanotechnology Physical Chemistry Polycaprolactone Polyglycolic acid Polyhydroxybutyrate Polymer industry Polymer Sciences Polymers Polytetrafluoroethylene Polyurethane Polyurethane resins Prostheses Prosthesis Review Soft and Granular Matter Thrombosis Tissue engineering Transplantation of organs, tissues, etc Vascular tissue 고분자공학
Title	Potential of Biodegradable Synthetic Polymers for Use in Small-diameter Vascular Engineering
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