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International Journal of Bioprinting                               Engineered 3D-printed PVA vascular grafts




                                                               increasing the degree of crosslinking or network density
                                                               and decreasing the degree of swelling.

                                                               3.6. Poly(vinyl alcohol) graft morphology
                                                               The lysine-biofunctionalized PVA graft  (3D-3H) was
                                                               subjected to surface morphology investigation to unveil
                                                               its support-like characteristics, crucial for biological
                                                               assessment. The surface of the graft displayed a rough
                                                               topography characterized by high irregularities and open
                                                               pores measuring approximately 4–10 μm (Figure 8).

                                                               3.7. Tensile evaluation
                                                               A mechanical investigation was performed to determine
                                                               the sample’s response when subjected to tensile stress. The
                                                               samples were pre-swollen in water for 1 h to induce the
                                                               flexible behavior of a vascular graft. Figure 9 displays the
                                                               response of both unmodified and lysine-biofunctionalized
                                                               PVA grafts. The unmodified PVA graft displayed a broad
                                                               yield region/plateau around 30–35% tensile strain,
                                                               followed by gradual propagation of sample failure. Up
                                                               to 30% strain, the unmodified PVA graft exhibited a
                                                               gradual increase in response to the strain. The maximum
                                                               stress in the yield region was 0.23 MPa. In contrast, the
                                                               biofunctionalized PVA graft exhibited a distinct behavior
                                                               compared to the unmodified PVA grafts. The sample
                                                               displayed a linear stress/strain dependency, with increased
                                                               resistance to stress propagation. The yield region was also
                                                               broad, with a maximum tensile stress of about 0.58 MPa.
                                                               The tensile stress at break was more than double that of
                                                               the  unmodified PVA  graft, displaying a  linear  response.
                                                               Biofunctionalization emerges as a key approach for both
                                                               enhancing  biocompatibility  and  improving  mechanical
                                                               properties. The biofunctionalized specimen demonstrated
                                                               a more elastic behavior, likely due to the higher network
                                                               density facilitated by new inter/intramolecular physical
                                                               interactions and chemical bonding.

                                                               3.8. Mechanical flow testing
                                                               Among the PVA grafts, 1D-3H and 3D-3H exhibited
                                                               sufficient stability for mechanical testing (for fatigue
                                                               resistance). The grafts were secured onto the platform using
                                                               acrylic resin, and the platform was then connected to both
                                                               the feeding glass (containing water) and the vacuum pump
                                                               (Figure 10). The vacuum pump was set to 40 mbar, and
                                                               the test commenced. The vacuum induced the fluid (water)
                                                               from the feeding glass to traverse the flexible hose and
                                                               reach the PVA graft through the 0.3 mm metallic channel.
                                                               The fluid passed through the PVA graft and exited via
                                                               the 0.8 mm metallic channel. Subsequently, the fluid was
            Figure 8.  Scanning electron microscope (SEM) images of the lysine-  collected in the glass collector. To detect any fluid leakage,
            functionalized poly(vinyl alcohol) (PVA)  grafts.  Magnification: (A)   the platform was filled with water to cover the PVA graft.
            400×; (B) 1000×; and (C) 5000×. Scale bars: (A) 200 µm; (B) 100 µm; and    During fluid drainage, the 1D-3H graft began to fracture
            (C) 20µm.                                          due to the applied vacuum forces. However, the 3D-3H



            Volume 10 Issue 3 (2024)                       545                                doi: 10.36922/ijb.2193
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