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International Journal of Bioprinting                           3D-printed PPDO/GO stents for CHD treatment.




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            strength (19.21 ± 0.41 MPa), and 16.96% in elongation at   eV is deconvoluted, which is attributed to sp  carbon. The
            break (1.120 ± 0.207). At higher GO content (i.e., reaching   O1s peaks are deconvoluted into four components with
            5%), the elongation at break drastically decreases by   binding energies of 531.5 ± 0.2 eV, 532.2 ± 0.2 eV, 533.1 ±
            88.01% compared to that of pristine PPDO. The abundant   0.2 eV, and 534.1 ± 0.2 eV, corresponding to O–C=O, C=O,
            functional groups of GO promote uniform dispersion in   C–OH, and C–O–C, respectively.  By calculating the area
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            the  PPDO  matrix,  fostering  increased  intermolecular   percentage of the deconvoluted O1s spectra, it is found that
            interactions with the PPDO matrix. Hydrogen bonding   the C–OH percentage of PPDO/GO materials exhibits an
            enhances the mechanical properties of materials, including   increasing trend as the GO content rises (Figure 4d). This
            Young’s modulus, tensile strength, and elongation at   can be attributed to the abundant hydroxyl groups present
            break. 71–74  It facilitates polymer chain crosslinking and   in GO, and the finding is consistent with the FT-IR results.
            impedes chain movement, thus improving the stiffness of   Figure 4e features the water contact angle of PPDO/
            PPDO.  The elevation in the degree of crystallinity also   GO materials. As the GO content increases, the water
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            contributes to the improvement of Young’s modulus. GO has   contact angle of PPDO/GO materials gradually decreases
            an intrinsically high modulus and acts as a reinforcement   from 76.2° ± 1.0° of PPDO to 69.0° ± 0.8° of PPDO/5%GO,
            in the  PPDO matrix. As displayed in  Figure 3g,    indicating enhanced wettability. The presence of abundant
            at 5% GO content, Young’s modulus reaches its peak at   hydrophilic groups in GO, such as carboxyl and hydroxyl
            179.46 ± 2.76 MPa. Many studies have revealed that as   (as observed in the FT-IR and XPS results), improves the
            GO content increases, Young’s modulus of the composite   hydrophilicity of PPDO. The enhanced hydrophilicity may
            material increases as well. 76–78  Wan and Chen  reported that   facilitate HUVEC adhesion and proliferation. 86,87
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            at higher GO content, Young’s modulus of the composite
            material gradually increases despite poor dispersion.   The melt viscosity of the material is crucial for FDM.
            GO reinforces the PPDO matrix due to its intrinsic high   The material needs to have sufficiently low viscosity to
            strength and enables more effective load transfer from   ensure continuous extrusion through the nozzle, while also
            the matrix to the nanofiller through hydrogen bonding,    exhibiting shear thinning behavior, where melt viscosity
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            enhancing the tensile strength of PPDO/GO materials. At a   sharply increases when the shear rate decreases. This
            higher level of GO content, the aggregation of GO impairs   helps the material maintain its shape after extrusion under
            load transfer efficiency and results in poor reinforcement.   gravity and the stress from the deposition of subsequent
            Under  external  load,  micro-cracking  is  formed  at  the   layers 88,89 . As displayed in  Figure S4, both PPDO and
            matrix–GO interface during crack propagation and absorbs   PPDO/GO materials exhibit shear thinning behavior, and
            plenty of fracture energy. Besides, GO nanosheets  can   the melt viscosity decreases as the temperature increases.
            prevent crack propagation by crack deflection and crack   The incorporation of GO enhances the melt viscosity of the
            pinning, 81–83  thereby enhancing the toughness of PPDO/  PPDO matrix, which is also observed in polyamide 6/GO
            GO materials. However, the high degree of crystallinity of   composite.  This may be due to the improved interaction
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            PPDO leads to a decrease of elongation at break at higher   between PPDO and GO under hydrogen bonding.
            GO contents. According to the results of the mechanical   The  design  of  sliding-lock  stents  is inspired  by cable
            characterization of PPDO/GO composites, the mechanical   ties. Stents with a series of diameters can be fabricated
            properties  of  PPDO  are  enhanced  when  GO  contents   by adjusting the lateral dimension.  Figure 5a features
            are at 0.2% and 0.5%. Therefore, PPDO/0.2%GO and   the 3D-printed PPDO/GO sliding-lock stents. FDM
            PPDO/0.5%GO are selected for stent fabrication and   can accomplish personalized customization of vascular
            subsequent biocompatibility evaluation.            stents with intricate structures and is suitable for printing
               The  XPS analysis characterizes  the  surface  element   thermoplastic polymers (PPDO, PLLA, PLGA, etc.),
            composition and the chemical states of carbon and oxygen   exhibiting the advantages of convenience, speed, and cost-
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            in PPDO/GO materials. The wide scan spectra (Figure 4a)    effectiveness.   The  thickness  of  PPDO,  PPDO/0.2%GO,
            indicate that PPDO/GO materials are composed of    and  PPDO/0.5%GO  sliding-lock  stents  is  measured
            carbon and oxygen, and no fluorine is detected, implying   as 257.20 ± 5.73, 263.20 ± 6.35, and 256.69 ± 2.86 mm,
            the complete removal of the HFIP solvent. The high-  respectively.  Figure 5b and c demonstrate the front and
            resolution spectra of C1s and O1s core levels of PPDO/GO   top views of PPDO/GO sliding-lock stents (diameter:
            materials are displayed in Figure 4b and c. The C1s peaks   9 mm), respectively. Compression performance is one
            are deconvoluted into three components with binding   of the primary properties of vascular stents. Results of
            energies of 284.8 eV, 286.6 ± 0.2 eV, and 288.9 ± 0.2 eV,   parallel plate compression tests (Figure 5d) reveal that
            corresponding to C–C, C–O, and C=O, respectively. 84,85  For   incorporating GO significantly enhances PPDO sliding-
            GO, another component with a binding energy of 284.4   lock stents’ compression performance. The compression


            Volume 10 Issue 6 (2024)                       324                                doi: 10.36922/ijb.4530
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