Neointimal hyperplasia (NH) is a main source of failures in arteriovenous fistulas and vascular grafts. Several studies have demonstrated the promise of perivascular wraps to reduce NH via promotion of adventitial neovascularization and providing mechanical support. Limited clinical success thus far may be due to inappropriate material selection (e.g., nondegradable, too stiff) and geometric design (e.g., pore size and spacing, diameter). The influence of pore size and spacing on implant neovascularization is investigated here for a new biodegradable, thermoresponsive shape memory polymer (SMP) perivascular wrap. Following an initial pilot, 21 mice were each implanted with six scaffolds: four candidate SMP macroporous designs (a–d), a nonporous SMP control (e), and microporous GORETEX (f). Mice were sacrificed after 4 (
Shape memory polymers (SMPs) are a class of responsive polymers that have attracted attention in designing biomedical devices because of their potential to improve minimally invasive surgeries. Use of porous SMPs in vascular grafts has been proposed because porosity aids in transfer of fluids through the graft and growth of vascular tissue. However, porosity also allows blood to leak through grafts so preclotting the materials is necessary. Here hydrogels have been synthesized from acrylic acid and
- NSF-PAR ID:
- 10461613
- Publisher / Repository:
- Wiley Blackwell (John Wiley & Sons)
- Date Published:
- Journal Name:
- Journal of Polymer Science Part A: Polymer Chemistry
- Volume:
- 57
- Issue:
- 13
- ISSN:
- 0887-624X
- Page Range / eLocation ID:
- p. 1389-1395
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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