The Mechanical Behavior of Vascular Grafts: A Review
The development of intimal hyperplasia (IH) near the anastomosis of a vascular graft to artery is directly related to changes in the wall shear rate distribution. Mismatch in compliance and diameter at the end-to-end anastomosis of a compliant artery and rigid graft cause shear rate disturbances tha...
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| Veröffentlicht in: | Journal of biomaterials applications 2001-01, Vol.15 (3), p.241-278 |
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| container_title | Journal of biomaterials applications |
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| creator | Salacinski, Henryk J. Goldner, Sean Giudiceandrea, Alberto Hamilton, George Seifalian, Alexander M. Edwards, Alan Carson, Robert J. |
| description | The development of intimal hyperplasia (IH) near the anastomosis of a vascular graft to artery is directly related to changes in the wall shear rate distribution. Mismatch in compliance and diameter at the end-to-end anastomosis of a compliant artery and rigid graft cause shear rate disturbances that may induce intimal hyperplasia and ultimately graft failure. The principal strategy being developed to prevent IH is based on the design and fabrication of compliant synthetic or innovative tissue-engineered grafts with viscoelastic properties that mirror those of the human artery. The goal of this review is to discuss how mechanical properties including compliance mismatch, diameter mismatch, Young’s modulus and impedance phase angle affect graft failure due to intimal hyperplasia. |
| doi_str_mv | 10.1106/NA5T-J57A-JTDD-FD04 |
| format | Article |
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Mismatch in compliance and diameter at the end-to-end anastomosis of a compliant artery and rigid graft cause shear rate disturbances that may induce intimal hyperplasia and ultimately graft failure. The principal strategy being developed to prevent IH is based on the design and fabrication of compliant synthetic or innovative tissue-engineered grafts with viscoelastic properties that mirror those of the human artery. 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Mismatch in compliance and diameter at the end-to-end anastomosis of a compliant artery and rigid graft cause shear rate disturbances that may induce intimal hyperplasia and ultimately graft failure. The principal strategy being developed to prevent IH is based on the design and fabrication of compliant synthetic or innovative tissue-engineered grafts with viscoelastic properties that mirror those of the human artery. The goal of this review is to discuss how mechanical properties including compliance mismatch, diameter mismatch, Young’s modulus and impedance phase angle affect graft failure due to intimal hyperplasia.</description><subject>Biocompatible Materials</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Blood Vessel Prosthesis</subject><subject>Compliance</subject><subject>Medical sciences</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Vascular surgery: aorta, extremities, vena cava. 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| subjects | Biocompatible Materials Biological and medical sciences Biomechanical Phenomena Blood Vessel Prosthesis Compliance Medical sciences Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels |
| title | The Mechanical Behavior of Vascular Grafts: A Review |
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