Increasingly growing problems in vascular access for long-term hemodialysis lead to a considerable demand for synthetic small diameter vascular prostheses, which usually suffer from some drawbacks and are associated to high failure rates. Incorporating the concept of in situ tissue engineering (TE) into synthetic small diameter blood vessels, for example, thermoplastic poly(ether urethane) (TPU) ones, could provide an alternative approach for vascular access that profits from the advantages of excellent mechanical properties of synthetic polymer materials (early cannulation) and unique biointegration regeneration of autologous neovascular tissues (long-term fistulae). In this study, a kind of heparinized small diameter (d = 2.5 mm) TPU/poly(ε-caprolactone) (TPU/PCL-Hep) bi-layered blood vessels was electrospun with an inner layer of PCL and an outer layer of TPU. Afterward, the inner surface heparinization was conducted by coupling H 2 N-PEG-NH 2 to the corroded PCL layer and then heparin to the attached H 2 N-PEG-NH 2 via the EDCI/NHS chemistry. Herein a heparinized PCL inner layer could not only inhibit thrombosis, but also provide sufficient space for the neotissue regeneration via biodegradation with time. Meanwhile, a TPU outer layer could confer the vascular access the good mechanical properties, such as flexibility, viability and fitness of elasticity between the grafts and host blood vessels as evidenced by the adequate mechanical properties, such as compliance (4.43 ± 0.07%/ 100 mmHg), burst pressure (1447 ± 127 mmHg) and suture retention strength (1.26 ± 0.07 N) without blood seepage after implantation. Furthermore, a rabbit carotid aortic replacement model for 5 months was demonstrated 100% animal survival and 86% graft patency. Puncture assay also revealed the puncture resistance and self-sealing (hemostatic time < 2 min). Histological analysis highlighted neotissue regeneration, host cell infiltration and graft remodeling in terms of extracellular matrix turnover. Altogether, these results showed promising aspects of small diameter TPU/PCL-Hep bi-layered grafts for hemodialytic vascular access applications.
To overcome the difficulty of forming stable and continuous conductive pathways of MXene in conventional electrospinning systems, we develop a high-performance flexible pressure sensor featuring a synergistic embedded–coated dual conductive architecture. A TPU/PCL nanofiber membrane uniformly incorporating MXene is fabricated via one-step electrospinning, followed by PEDOT:PSS dip-coating to construct an external conductive layer. Subsequent Ecoflex 00–30 encapsulation ensures mechanical integrity and maintains continuous multilevel electron-transport networks. Structural characterizations confirm the homogeneous incorporation of MXene within the nanofibers and the continuous surface coverage of PEDOT:PSS. The optimized sensor exhibits a maximum sensitivity of 7.05 kPa⁻¹ in the low-pressure region, together with a broad sensing range up to 100 kPa, enabling reliable detection across both subtle and high-pressure regimes. It further demonstrates fast dynamic response (0.11 s/0.31 s for response/recovery), a low detection limit of 50 Pa, and excellent durability over 2000 loading cycles. Demonstration tests confirm its ability to detect subtle physiological motions at different body locations, such as wrist movements and throat motions during swallowing, as well as various joint motions. Overall, this synergistic dual conductive strategy offers a promising platform for wearable health monitoring, electronic skins, and human–machine interaction.
As thermoplastic polyurethane (TPU) elastomers possess good biocompatibility and mechanical properties similar to those of native vascular tissues, they were intended to be co-electrospun with poly(ε-caprolactone) (PCL) onto the outer surface of PCL electrospun small-diameter single-layer vascular grafts (SLVGs) in this study, combining with surface heparinization. In this work, a kind of structurally reinforced TPU+PCL/PCL small-diameter bilayer vascular graft (BLVG) was fabricated via layer-by-layer electrospinning followed by the heparinization of PCL via EDC/NHS chemistry. The resulting (TPU+PCL/PCL)-Hep BLVGs presented excellent mechanical strength and higher compliance, and sustainably released heparin exhibited enhanced anti-coagulation activity. During 6-month implantation in 18 rat abdominal aortas, these vascular prostheses induced the remodeling and regeneration of neovascular tissues, and promoted ECM deposition. Compared to heparinized PCL (PCL-Hep) SLVGs, the formation of aneurysm was completely inhibited and the onset of calcification was significantly delayed in (TPU+PCL/PCL)-Hep BLVGs. Not only vascular cell makers co-expressed by CD206+ cells were identified, but also a high content of elastin was evidenced due to the improvement of mechanical strength and compliance. These results indicated the feasibility and efficacy of inhibiting the aneurysm formation and boosting the vascular remodeling by incorporating TPU into PCL-Hep small-diameter artificial vascular grafts.
危险品化学品经营许可证（带存储）