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International Journal of Bioprinting


                                        REVIEW ARTICLE
                                        Three-dimensional printing as a cutting-edge,

                                        versatile and personalizable vascular stent
                                        manufacturing procedure: Toward tailor-made

                                        medical devices



                                        Fatima Garcia-Villen 1,2,3 *, Fernando López-Zárraga , Cesar Viseras ,
                                                                                   4
                                                                                                5,6
                                        Sandra Ruiz-Alonso 1,2,3 , Fouad Al-Hakim 1,2,3 , Irene Diez-Aldama ,
                                                                                              1
                                        Laura Saenz-del-Burgo 1,2,3 , Denis Scaini *, Jose Luis Pedraz 1,2,3
                                                                          7
                                        1 NanoBioCel Group, School of Pharmacy, University of the Basque Country (UPV/EHU), 01006,
                                        Vitoria-Gasteiz, Spain
                                        2 Biomedical  Research Networking  Center in Bioengineering,  Biomaterials and Nanomedicine
                                        (CIBER-BBN), 01006, Vitoria-Gasteiz, Spain
                                        3
                                        Bioaraba, NanoBioCel Research Group, 01009, Vitoria-Gasteiz, Spain
                                        4 Department of Vascular and Interventional Radiology, Álava University Hospital, Integrated Health
                                        Organization of Álava (Osakidetza), Spain
                                        5 Department of Pharmacy and Pharmaceutical  Technology,  School of Pharmacy, University of
                                        Granada (UGR), Campus of Cartuja, 18071 s/n, Granada, Spain
                                        6 Andalusian  Institute of Earth Sciences, CSIC-University  of Granada,  Avda. de Las Palmeras
                                        4, 18100, Armilla, Granada, Spain
                                        7 Joint Research Laboratory (JRL). School of Pharmacy, University of the Basque Country (UPV/
                                        EHU), 01006, Vitoria-Gasteiz, Spain
            *Corresponding authors:
            Fatima Garcia-Villen        (This article belongs to the Special Issue: 3D Tissue Engineering and Bioprinting for Emerging Applications)
            (fatima.garciav@ehu.eus)
            Denis Scaini
            (deniscaini@ehu.eus)        Abstract
            Citation: Garcia-Villen F, López-  Vascular stents (VS) have revolutionized the treatment of cardiovascular diseases, as
            Zárraga F, Viseras C, et al., 2023,
            Three-dimensional printing as   evidenced by the fact that the implantation of VS in coronary artery disease (CAD) patients
            a cutting-edge, versatile and   has become a routine, easily approachable surgical intervention for the treatment of
            personalizable vascular stent   stenosed blood vessels. Despite the evolution of VS throughout the years, more efficient
            manufacturing procedure: Toward
            tailor-made medical devices. Int J   approaches are still required to address the medical and scientific challenges, especially
            Bioprint, 9(2): 664.        when it comes to peripheral artery disease (PAD). In this regard, three-dimensional
            https://doi.org/10.18063/ijb.v9i2.664
                                        (3D) printing is envisaged as a promising alternative to upgrade VS by optimizing the
            Received: August 09, 2022   shape, dimensions and stent backbone (crucial for optimal mechanical properties),
            Accepted: October 11, 2022  making them customizable for each patient and each stenosed lesion. Moreover, the
            Published Online: January 9, 2023
                                        combination of 3D printing with other methods could also upgrade the final device. This
            Copyright: © 2023 Author(s).   review focuses on the most recent studies using 3D printing techniques to produce VS,
            This is an Open Access article
            distributed under the terms of the   both by itself and in combination with other techniques. The final aim is to provide an
            Creative Commons Attribution   overview of the possibilities and limitations of 3D printing in the manufacturing of VS.
            License, permitting distribution   Furthermore, the current situation of CAD and PAD pathologies is also addressed, thus
            and reproduction in any medium,
            provided the original work is   highlighting the main weaknesses of the already existing VS and identifying research
            properly cited.             gaps, possible market niches and future directions.
            Publisher’s Note: Whioce
            Publishing remains neutral with   Keywords: Stent; Three-dimensional printing; Endovascular prosthesis; Atheroscle-
            regard to jurisdictional claims in
            published maps and institutional   rosis; Peripheral artery disease; Coronary artery disease
            affiliations.



            Volume 9 Issue 2 (2023)                        219                     https://doi.org/10.18063/ijb.v9i2.664
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