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International

                                                                         Journal of Bioprinting



                                        REVIEW ARTICLE
                                        3D bioprinting for vascular grafts and

                                        microvasculature



                                        Junpeng Zhu , Xinwang Wang , Lin Lin , and Wen Zeng 1,3,4 *
                                                   1†
                                                                  2†
                                                                          1†
                                        1 Department of Cell Biology, Third Military Medical University, Chongqing, China
                                        2 Troops 69250 of the PLA, Urumqi, China
                                        3 State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing, China
                                        4 Jinfeng Laboratory, Chongqing 401329, China
                                        (This article belongs to the Special Issue: 3D printing for tissue engineering and regenerative medicine)


                                        Abstract
                                        Cardiovascular disease is the world’s leading cause of death, and there is a substantial
                                        clinical need for transplantable blood vessels. Through tissue vascular engineering
                                        technology, large blood  vessel grafts with significant clinical effects have been
                                        synthesized.  However,  synthesizing  vascular  valves,  small  vessels  up  to  6  mm  in
                                        diameter, and capillary networks up to 500 μm in diameter remains challenging
                                        due  to  the  lack  of  precise  manufacturing  techniques.  In  particular,  constructing
                                        a  microvascular  network  in  thick  tissue  is  the  technical  bottleneck  of  organ
                                        transplantation. Three-dimensional (3D) bioprinting is a computer-assisted layer-by-
                                        layer deposition method that can deposit cells and biomaterials at a predetermined
                                        location, according to an accurate digital 3D model, to build a delicate and complex
                                        bionic structure. This review discusses the progress and limitations of 3D bioprinting
            † These authors contributed equally   in preparing large vessels and valves, small-diameter vessels, and microvascular
            to this work.               networks. This paper focuses on improved printing technology and innovative bio-
            *Corresponding author:      ink materials. The future application of 3D bioprinting is prospected in generating
            Wen Zeng                    artificial blood vessel grafts and vascularized organs with full biological function.
            (zengw0105@163.com)
            Citation: Zhu J, Wang X, Lin L,
            et al., 2023, 3D bioprinting   Keywords: 3D bioprinting; Small-diameter vessels;  Microvasculature
            for vascular grafts and
            microvasculature. Int J Bioprint,
            9(6): 0012.
            https://doi.org/10.36922/ijb.0012
                                        1. Introduction
            Received: May 12, 2023
            Accepted: July 1, 2023      Cardiovascular disease is the leading cause of death in the world, with the annual
            Published Online: August 2, 2023
                                        number of mortalities expected to reach 23.3 million by 2030 . The body’s vascular
                                                                                           [1]
            Copyright: © 2023 Author(s).   system consists of four parts, such as large-diameter blood vessels (diameter 10–30 mm),
            This is an Open Access article   medium-diameter blood vessels (diameter 6–10 mm), small-diameter blood vessels
            distributed under the terms of the
            Creative Commons Attribution   (diameter 0.5–6 mm), and capillaries (diameter <500 μm).
            License, permitting distribution,
            and reproduction in any medium,   Macroangiopathy, along with aortic dissection, thoracic aortic aneurysm, and
            provided the original work is   abdominal aortic aneurysm, poses a significant threat to human life and health.
            properly cited.             These diseases often lead to sudden death of patients due to blood vessel rupture and
                                               [2]
            Publisher’s Note: AccScience   bleeding . Clinically, the radical surgical approach to significant vascular disease
            Publishing remains neutral with   replaces damaged vessels with artificial vessels . The large vessel valve is located at the
                                                                             [3]
            regard to jurisdictional claims in
            published maps and institutional   junction of the cardiac chambers and the large-diameter artery, ensuring unipolar blood
            affiliations.               flow between the ventricle and the large artery. Narrowing or incomplete closure of the

            Volume 9 Issue 6 (2023)                        257                          https://doi.org/10.36922/ijb.0012
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