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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        Engineered 3D-printed poly(vinyl alcohol)

                                        vascular grafts: Impact of thermal treatment
                                        and functionalization



                                        Ionut-Cristian Radu 1 id , Derniza Cozorici 1 id , Madalina-Ioana Necolau 1 id ,
                                        Roxana Cristina Popescu 2,3 id , Eugenia Tanasa 1 id , Laurentia Alexandrescu 4 id ,
                                        Catalin Zaharia * , and Rafael Luque 5 id
                                                     1 id
                                        1 Advanced Polymer Materials Group, Department of Bioresources and Polymer Science, Faculty
                                        of Chemical Engineering and Biotechnology, National University of Science and Technology
                                        POLITEHNICA Bucharest, Bucharest, Romania
                                        2 Department of Bioengineering and Biotechnology, Faculty of Medical Engineering, National
                                        University of Science and Technology POLITEHNICA Bucharest, Bucharest, Romania
                                        3 Group of Biophysics and Radiobiology, Department of Life and Environmental Physics, National
                                        Institute for R&D in Physics and Nuclear Engineering “Horia Hulubei,” Magurele, Romania
                                        4 Rubber Research Department, National  Research and Development  Institute for Textile
                                        and Leather, Division Leather and Footwear Research Institute (INCDTP Division ICPI),
                                        Bucharest, Romania
                                        5 Universidad ECOTEC, Km. 13.5 Samborondón, Samborondón, Ecuador
                                        (This article belongs to the Special Issue: Biomimetic and bioinspired printed structures)




                                        Abstract

                                        Cardiovascular diseases, a leading cause of global mortality, are driving increased
            *Corresponding author:      demand for artificial blood vessels for surgical repair.  This study discloses the
            Catalin Zaharia             fabrication of three-dimensional (3D)-printed small blood vessels as tissue-
            (catalin.zaharia@upb.ro)
                                        engineered grafts. Large-diameter artery and vein grafts are readily available in
            Citation: Radu IC, Cozorici D,   the market, but small-diameter blood vessels face issues due to the lack of suitable
            Necolau MI, et al. Engineered
            3D-printed poly(vinyl alcohol)   materials. Lysine-biofunctionalized and unmodified poly(vinyl alcohol) grafts (PVA
            vascular grafts: Impact of thermal   grafts) (2 mm inner diameter and 3 mm outer diameter) suitable for veins and venules
            treatment and functionalization.    were designed using Fusion 360 software, Autodesk Fusion. The PVA channels were
            Int J Bioprint. 2024;10(3):2193.
            doi: 10.36922/ijb.2193      fabricated from the 3D virtual model through fused deposition modeling using a PVA
                                        filament. These channels underwent thermal treatment to adjust their crystallinity,
            Received: November 6, 2023  chemical crosslinking, and functionalization to optimize their mechanical properties
            Accepted: March 31, 2024
            Published Online: June 10, 2024  and biocompatibility. Crosslinking and biofunctionalization were assessed using
                                        Fourier-transform  infrared  spectroscopy  with  attenuated  total  reflectance,  while
            Copyright: © 2024 Author(s).
            This is an Open Access article   X-ray diffraction and differential scanning calorimetry were utilized for structural
            distributed under the terms of the   analysis. PVA grafts were biologically tested using three specific types of cell cultures:
            Creative Commons Attribution   bEnd.3 brain endothelial cells, L929 fibroblast cells, and U937 monocyte-like cells.
            License, permitting distribution,
            and reproduction in any medium,   The hemocompatibility of the optimized vascular grafts was evaluated using horse
            provided the original work is   blood,  following  the guidelines  outlined  in  ASTM  F756-13  Standard  Practice  for
            properly cited.             Assessment of Hemolytic Properties of Materials. The direct method for hemoglobin
            Publisher’s Note: AccScience   determination was specifically employed. Additionally, we developed an external
            Publishing remains neutral with   polyethylene terephthalate glycol (PETG) 3D-printed platform to house the PVA
            regard to jurisdictional claims in
            published maps and institutional   grafts in parallel. The assembled platform (PETG and PVA graft) was connected to
            affiliations.               both an inlet and an outlet to facilitate the passage of an aqueous flow through the



            Volume 10 Issue3 (2024)                        532                                doi: 10.36922/ijb.2193
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