Evidence map›Paper›PMID 29023551›Full record

ArticlePloS one2017

A multilayered electrospun graft as vascular access for hemodialysis.

D Radakovic, J Reboredo, M Helm, T Weigel, S Schürlein, E Kupczyk, R G Leyh, H Walles, J Hansmann

Abstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

D RadakovicDepartment of Thoracic and Cardiovascular Surgery, University Hospital Wuerzburg, Josef-Schneider-Straße 2, Wuerzburg, Germany.
J ReboredoDepartment of Tissue Engineering and Regenerative Medicine, University Hospital Wuerzburg, Roentgenring 11, Wuerzburg, Germany.
M HelmDepartment of Tissue Engineering and Regenerative Medicine, University Hospital Wuerzburg, Roentgenring 11, Wuerzburg, Germany.
T WeigelDepartment of Tissue Engineering and Regenerative Medicine, University Hospital Wuerzburg, Roentgenring 11, Wuerzburg, Germany.
S SchürleinDepartment of Tissue Engineering and Regenerative Medicine, University Hospital Wuerzburg, Roentgenring 11, Wuerzburg, Germany.
E KupczykDepartment of Tissue Engineering and Regenerative Medicine, University Hospital Wuerzburg, Roentgenring 11, Wuerzburg, Germany.
R G LeyhDepartment of Thoracic and Cardiovascular Surgery, University Hospital Wuerzburg, Josef-Schneider-Straße 2, Wuerzburg, Germany.
H WallesDepartment of Tissue Engineering and Regenerative Medicine, University Hospital Wuerzburg, Roentgenring 11, Wuerzburg, Germany.
J HansmannDepartment of Tissue Engineering and Regenerative Medicine, University Hospital Wuerzburg, Roentgenring 11, Wuerzburg, Germany.ORCID http://orcid.org/0000-0003-4132-9737

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite medical achievements, the number of patients with end-stage kidney disease keeps steadily raising, thereby entailing a high number of surgical and interventional procedures to establish and maintain arteriovenous vascular access for hemodialysis. Due to vascular disease, aneurysms or infection, the preferred access-an autogenous arteriovenous fistula-is not always available and appropriate. Moreover, when replacing small diameter blood vessels, synthetic vascular grafts possess well-known disadvantages. A continuous multilayered gradient electrospinning was used to produce vascular grafts made of collagen type I nanofibers on luminal and adventitial graft side, and poly-ɛ-caprolactone as medial layer. Therefore, a custom-made electrospinner with robust environmental control was developed. The morphology of electrospun grafts was characterized by scanning electron microscopy and measurement of mechanical properties. Human microvascular endothelial cells were cultured in the graft under static culture conditions and compared to cultures obtained from dynamic continuous flow bioreactors. Immunofluorescent analysis showed that endothelial cells form a continuous luminal layer and functional characteristics were confirmed by uptake of acetylated low-density-lipoprotein. Incorporation of vancomycin and gentamicin to the medial graft layer allowed antimicrobial inhibition without exhibiting an adverse impact on cell viability. Most striking a physiological hemocompatibility was achieved for the multilayered grafts.

Indexed as

Blood Vessel ProsthesisMaterials TestingVascular Access DevicesCollagen Type IEndothelial CellsHumansNanofibersPolyestersRenal DialysisCollagen Type IpolycaprolactonePolyesters

Identifiers

PMID29023551
PMCPMC5638257

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.