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Matching Static and Dynamic Compliance of Small‐Diameter Arteries,with Poly(lactide‐co‐caprolactone) Copolymers: In Vitro and In Vivo Studies
Authors:Jean‐Marc Behr  Scott Alexander Irvine  Chaw‐Su Thwin  Ankur Harish Shah  Min‐Chul Kraun Bae  Eyal Zussman  Subbu Venkatraman
Abstract:Mechanical mismatch between vascular grafts and blood vessels is a major cause of smaller diameter vascular graft failure. To minimize this mismatch, several poly‐l ‐lactide‐co‐ε‐caprolactone (PLC) copolymers are evaluated as candidate materials to fabricate a small diameter graft. Using these materials, tubular prostheses of 4 mm inner diameter are fabricated by dip‐coating. In vitro static and dynamic compliance tests are conducted, using custom‐built apparatus featuring a closed flow system with water at 37 °C. Grafts of PLC monomer ratio of 50:50 are the most compliant (1.56% ± 0.31?mm Hg?2), close to that of porcine aortic branch arteries (1.56% ± 0.43?mm Hg?2), but underwent high continuous dilatation (87 µm min?1). Better matching is achieved by optimizing the thickness of a tubular conduit made from 70:30 PLC grafts. In vivo implantation and function of a PLC 70:30 conduit of 150 µm wall‐thickness (WT) are tested as a rabbit aorta bypass. An implanted 150 µm WT PLC 70:30 prosthesis is observed over 3 h. The recorded angiogram shows continuous blood flow, no aneurysmal dilatation, leaks, or acute thrombosis during the in vivo test, indicating the potential for clinical applications.
Keywords:compliance matching  dip‐coating  mechanical testing  poly(   l‐lactide‐co‐ε  ‐caprolactone)  vascular prosthesis
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