(Meth)acrylate-based photoelastomers as tailored biomaterials for artificial vascular grafts

Cardiovascular disease is one of the leading causes of morbidity and mortality in the western hemisphere. Currently available synthetic vascular conduits, like Dacron or ePTFE show excellent long-term results for large-caliber arterial reconstruction (aorta, iliac vessels) but when used for small diameter (<4 mm) vessel reconstruction, patency rates are extremely poor. We therefore aim at developing suitable blood vessel substitutes out of biocompatible photopolymer formulations, which can be printed by rapid prototyping. Rapid prototyping offers the possibility to create cellular structures within the grafts that favor the ingrowth of tissue. To meet the high requirements for artificial biomaterials, it is necessary to develop new resin formulations. Beside the biocompatibility, the mechanical properties—a low elastic modulus (500 kPa) at a relatively high tensile strength (1.0 MPa) and a high strain at break (130%)—play a central role. Resin systems containing cyanoethyl acrylate have shown to be highly reactive, have good mechanical properties and sufficient in vitro biocompatibility. Elastic modulus and tensile strength which should be similar to natural blood vessels were adjusted by the ratio of acrylate-based crosslinkers and—in case of hydrogels —the percentage of water. Finally, we were able to print small diameter conduits by microstereolithography. © 2009 Wiley Periodicals, Inc. J Polym Sci Part A: Polym Chem 47: 2664–2676, 2009

[1]  Robert Liska,et al.  Evaluation of Biocompatible Photopolymers II: Further Reactive Diluents , 2007 .

[2]  E. Ingham,et al.  Tissue engineering of vascular conduits , 2006, The British journal of surgery.

[3]  Jennifer L. West,et al.  Three-dimensional micropatterning of bioactive hydrogels via two-photon laser scanning photolithography for guided 3D cell migration. , 2008, Biomaterials.

[4]  Robert Liska,et al.  Evaluation of Biocompatible Photopolymers I: Photoreactivity and Mechanical Properties of Reactive Diluents , 2007 .

[5]  Christopher Breuer,et al.  Artificial blood vessel: the Holy Grail of peripheral vascular surgery. , 2005, Journal of vascular surgery.

[6]  A S Hoffman,et al.  Protein adsorption to poly(ethylene oxide) surfaces. , 1991, Journal of biomedical materials research.

[7]  Thomas Boland,et al.  Rapid prototyping of tissue-engineering constructs, using photopolymerizable hydrogels and stereolithography. , 2004, Tissue engineering.

[8]  J. H. van Bockel,et al.  Vein versus polytetrafluoroethylene in above-knee femoropopliteal bypass grafting: five-year results of a randomized controlled trial. , 2003, Journal of vascular surgery.

[9]  D. Lyman,et al.  Compliance as a factor effecting the patency of a copolyurethane vascular graft. , 1978, Journal of biomedical materials research.

[10]  H. Greisler,et al.  Biomaterials in the development and future of vascular grafts. , 2003, Journal of vascular surgery.

[11]  C. Pittman,et al.  Radical‐initiated homo‐ and copolymerization of cyanomethyl methacrylate , 1983 .

[12]  R. Liska,et al.  New photocleavable structures. II. α‐Cleavable photoinitiators based on pyridines , 2004 .

[13]  D. Bezuidenhout,et al.  Prosthetic vascular grafts: wrong models, wrong questions and no healing. , 2007, Biomaterials.

[14]  A. Neumeister,et al.  Photopolymers with tunable mechanical properties processed by laser-based high-resolution stereolithography , 2008 .

[15]  M. Romiti,et al.  Meta-analysis of femoropopliteal bypass grafts for lower extremity arterial insufficiency. , 2006, Journal of vascular surgery.

[16]  Jason A Burdick,et al.  Photoencapsulation of osteoblasts in injectable RGD-modified PEG hydrogels for bone tissue engineering. , 2002, Biomaterials.

[17]  Paul N Manson,et al.  Variable cytocompatibility of six cell lines with photoinitiators used for polymerizing hydrogels and cell encapsulation. , 2005, Biomaterials.

[18]  Freddy Yin Chiang Boey,et al.  Implanted cardiovascular polymers: Natural, synthetic and bio-inspired , 2008 .

[19]  J L West,et al.  Smooth muscle cell growth in photopolymerized hydrogels with cell adhesive and proteolytically degradable domains: synthetic ECM analogs for tissue engineering. , 2001, Biomaterials.

[20]  Jennifer L. West,et al.  Three‐Dimensional Biochemical and Biomechanical Patterning of Hydrogels for Guiding Cell Behavior , 2006 .

[21]  Walter Blondel,et al.  Investigation of 3-D mechanical properties of blood vessels using a new in vitro tests system: results on sheep common carotid arteries , 2001, IEEE Transactions on Biomedical Engineering.

[22]  A. Ratcliffe Tissue engineering of vascular grafts. , 2000, Matrix biology : journal of the International Society for Matrix Biology.

[23]  R. Liska,et al.  Photoinitiators with functional groups. IX. Hydrophilic bisacylphosphine oxides for acidic aqueous formulations , 2006 .

[24]  C. Hoyle,et al.  Influence of Hydrogen Bonding on Photopolymerization Rate of Hydroxyalkyl Acrylates , 2004 .