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




























            Figure 16. Aspects of blood in the presence of samples and controls before incubation (left). Aspects of the supernatant following a 3-h incubation of blood
            in the presence of the grafts and centrifugation (right). No obvious changes in the supernatant of the samples were observed com


            test measures the ability of the material to provoke the   such as thermal treatment duration, crosslinking time,
            destruction  of  the  erythrocytes  in  whole  blood  through   and biofunctionalization processes, yielded suitable
            measurements of released hemoglobin in the plasma,   3D-printed PVA channels for small vascular grafts.
            following a 3-h incubation with the graft. The degree of   Biofunctionalized PVA grafts exhibited favorable fatigue
            hemolysis was calculated according to the guidelines,   resistance  under  continuous  flow,  mimicking  normal
            and the results were interpreted accordingly. The   vasculature  conditions in  small veins.  3D printing
            hemolysis level induced by the vascular graft was below   emerged as a crucial technique in PVA graft development,
            2%,  as  recommended  by  ASTM F756-13,  highlighting   offering a rapid and efficient means to design and fabricate
            the hemocompatibility of the material in whole blood    PVA channels.
            (Figure 16; Table 3).
                                                                  3D printing can also be employed to produce vascular
            4. Conclusion                                      grafts  with  other  dimensions,  according  to preclinical
                                                               conditions. This work provides a novel approach for the
            An innovative protocol for the fabrication of small   design of small vascular grafts, as well as a candidate with
            vascular grafts by 3D printing was successfully    the potential to revolutionize therapeutic applications,
            developed in this work. The results demonstrate that   from coronary artery bypass to customized treatments
            PVA is a suitable synthetic polymer for vascular graft   for peripheral arterial diseases. One important aspect
            development under specific conditions. Thermal     of 3D printing technology is its versatility, which opens
            treatment notably influenced PVA channels by enhancing   possibilities for efficient and personalized vascular graft
            crystallinity and modifying crosslinking behavior, while   treatment in a range of clinical contexts.
            biofunctionalization improved biocompatibility and
            immune response. Optimal combinations of parameters,   Acknowledgments

                                                               None.
            Table 3. Evaluation of hemocompatibility  of  modified
            vascular grafts
                                                               Funding
             Sample                   Hemolysis level (%)      This work was supported by a grant from the Ministry
             Control                                           of Research, Innovation, and Digitization (CNCS/
                 Positive                83.71 ± 4.9           CCCDI–UEFISCDI;  project  number:  PN-III-P4-ID-
                 Negative                0.87 ± 0.14           PCE-2020-1448; within PNCDI III).
             Graft
                 1                       1.49 ± 0.67           Conflict of interest
                 2                       1.502 ± 0.52          The authors declare no conflicts of interest.


            Volume 10 Issue 3 (2024)                       553                                doi: 10.36922/ijb.2193
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