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体内组织工程化生物管®血管移植物的形状记忆及其在动物植入实验中的初步评估。

Shape memory of in-body tissue-engineered Biotube® vascular grafts and the preliminary evaluation in animal implantation experiments.

作者信息

Nakayama Yasuhide, Furukoshi Maya, Tatsumi Eisuke

机构信息

Biotube Co., Ltd., Tokyo, Japan -

Division of Cell Engineering, Graduate School of Chemical Science and Engineering, Hokkaido University, Sapporo, Hokkaido, Japan.

出版信息

J Cardiovasc Surg (Torino). 2020 Apr;61(2):208-213. doi: 10.23736/S0021-9509.19.10594-0. Epub 2019 Apr 30.

Abstract

BACKGROUND

Tissues formed by in-body tissue architecture (iBTA) are soft and flexible. However, strongly bending iBTA-induced vascular grafts, called biotubes, may cause lumen collapse by kinking, subsequently leading to occlusion after implantation. In this study, we developed a method for biotube shape memory and verified its performance in preliminary animal implantation experiments.

METHODS

Straight biotubes were prepared by subcutaneous embedding of straight molds into beagle dogs for two months. Upon overnight immersion of the obtained straight biotubes in a 70% ethanol solution under U-shape framing, the biotubes maintained their U shape even after washing with saline solution. Additionally, spiral-shaped biotubes formed from goats using spiral molds could be stretched straight via the same alcohol treatment.

RESULTS

Within limited acute-phase animal implantation experiments, U-shaped biotubes functioned as AV shunt grafts in the femoral region of the beagle without deformation of vascular shape (N.=11). In addition, the long straight biotubes derived from spiral molds could be interposed between goat carotid arteries while maintaining their straight shape (N.=2). All implants maintained perfect patency at the 1-month follow-up period without any evidence of vascular deformation.

CONCLUSIONS

By retaining iBTA-induced tissues in an alcohol solution in the target shape, the shape of the tissues was imprinted and maintained even after implantation within a limited acute period. Therefore, in order to obtain tissues of various shapes, it is unnecessary to use a mold design to maintain the individual shape.

摘要

背景

体内组织结构(iBTA)形成的组织柔软且具有柔韧性。然而,强烈弯曲由iBTA诱导形成的血管移植物(称为生物管)可能会因扭结导致管腔塌陷,进而在植入后导致阻塞。在本研究中,我们开发了一种生物管形状记忆方法,并在初步动物植入实验中验证了其性能。

方法

通过将直模具皮下植入比格犬体内两个月来制备直生物管。将获得的直生物管在U形框架下过夜浸泡于70%乙醇溶液中后,即使在用盐溶液冲洗后,生物管仍保持其U形。此外,使用螺旋模具从山羊身上形成的螺旋形生物管通过相同的酒精处理可被拉直。

结果

在有限的急性期动物植入实验中,U形生物管在比格犬的股部区域作为动静脉分流移植物发挥作用,血管形状无变形(n = 11)。此外,源自螺旋模具的长直生物管可插入山羊颈动脉之间并保持其直形(n = 2)。所有植入物在1个月随访期内均保持完美通畅,无任何血管变形迹象。

结论

通过将iBTA诱导的组织保留在目标形状的酒精溶液中,即使在有限的急性期植入后,组织的形状也能被印记并保持。因此,为了获得各种形状的组织,无需使用模具设计来维持个体形状。

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