Evidence map›Paper›PMID 31864694›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2020

In vivo implantation of 3-dimensional printed customized branched tissue engineered vascular graft in a porcine model.

Enoch Yeung, Takahiro Inoue, Hiroshi Matsushita, Justin Opfermann, Paige Mass, Seda Aslan, Jed Johnson, Kevin Nelson, Byeol Kim, Laura Olivieri and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2020. 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
4.6field-weighted citation impact, top 5% of its field
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, 32 citations in OpenAlex.

  1. Review
  2. Development of Novel 3D Spheroids for Discrete Subaortic Stenosis.Cardiovascular engineering and technology · 2024
    Article
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  16. Systematic Review of Tissue-Engineered Vascular Grafts.Frontiers in bioengineering and biotechnology · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Enoch YeungDivision of Cardiac Surgery, Johns Hopkins Hospital, Baltimore, Md.
Takahiro InoueDivision of Cardiac Surgery, Johns Hopkins Hospital, Baltimore, Md.
Hiroshi MatsushitaDivision of Cardiac Surgery, Johns Hopkins Hospital, Baltimore, Md.
Justin OpfermannDivision of Cardiology, Children's National Medical Center, Washington, DC.
Paige MassDivision of Cardiology, Children's National Medical Center, Washington, DC.
Seda AslanDepartment of Mechanical Engineering, University of Maryland, Baltimore, Md.
Jed JohnsonNanofiber Solutions, Hilliard, Ohio.
Kevin NelsonNanofiber Solutions, Hilliard, Ohio.
Byeol KimDepartment of Mechanical Engineering, University of Maryland, Baltimore, Md.
Laura OlivieriDivision of Cardiology, Children's National Medical Center, Washington, DC.
Axel KriegerDepartment of Mechanical Engineering, University of Maryland, Baltimore, Md.
Narutoshi HibinoDivision of Cardiac Surgery, Johns Hopkins Hospital, Baltimore, Md; Department of Cardiac Surgery, University of Chicago/Advocate Children's Hospital, Chicago, Ill. Electronic address: nhibino@surgery.bsd.uchicago.edu.
Children's National · USJohns Hopkins Hospital · USUniversity of Maryland, Baltimore · USNanofiber Solutions (United States) · USUniversity of Chicago · US

Funding

Patient specific 3D printed tissue engineered vascular graft for aortic reconstruction designed by artificial intelligence algorithm.R01HL143468 · NHLBI · UNIVERSITY OF CHICAGO · PI FUGE, MARK, HIBINO, NARUTOSHI · 2018 to 2021
$2.7M
Novel drug-eluting sutures to prevent vascular graft anastomosis stenosisR01HL141612 · NHLBI · UNIVERSITY OF CHICAGO · PI ENSIGN, LAURA, HIBINO, NARUTOSHI · 2018 to 2022
$1.8M
Patient Specific Tissue Engineered Vascular Graft Creation Using 3D Printing TechnologyR33HD090671 · NICHD · UNIVERSITY OF CHICAGO · PI HIBINO, NARUTOSHI, KRIEGER, AXEL · 2019 to 2021
$1.2M
Patient Specific Tissue Engineered Vascular Graft Creation Using 3D Printing TechnologyR21HD090671 · NICHD · JOHNS HOPKINS UNIVERSITY · PI HIBINO, NARUTOSHI, KRIEGER, AXEL · 2017 to 2018
$484k
NHLBI NIH HHS R01 HL141612NHLBI NIH HHS R01 HL143468NICHD NIH HHS R21 HD090671NICHD NIH HHS R33 HD090671
6 · The paper itself

Abstract

backgroundThe customized vascular graft offers the potential to simplify the surgical procedure, optimize physiological function, and reduce morbidity and mortality. This experiment evaluated the feasibility of a flow dynamic-optimized branched tissue engineered vascular graft (TEVG) customized based on medical imaging and manufactured by 3-dimensional (3D) printing for a porcine model.

methodsWe acquired magnetic resonance angiography and 4-dimensional flow data for the native anatomy of the pigs (n = 2) to design a custom-made branched vascular graft of the pulmonary bifurcation. An optimal shape of the branched vascular graft was designed using a computer-aided design system informed by computational flow dynamics analysis. We manufactured and implanted the graft for pulmonary artery (PA) reconstruction in the porcine model. The graft was explanted at 4 weeks after implantation for further evaluation.

resultsThe custom-made branched PA graft had a wall shear stress and pressure drop (PD) from the main PA to the branch PA comparable to the native vessel. At the end point, magnetic resonance imaging revealed comparable left/right pulmonary blood flow balance. PD from main PA to branch between before and after the graft implantation was unchanged. Immunohistochemistry showed evidence of endothelization and smooth muscle layer formation without calcification of the graft.

conclusionsOur animal model demonstrates the feasibility of designing and implanting image-guided, 3D-printed, customized grafts. These grafts can be designed to optimize both anatomic fit and hemodynamic properties. This study demonstrates the tremendous potential structural and physiological advantages of customized TEVGs in cardiac surgery.

Indexed as

Blood Vessel ProsthesisPrinting, Three-DimensionalAnimalsBlood Vessel Prosthesis ImplantationComputer-Aided DesignDisease Models, AnimalFeasibility StudiesPulmonary ArterySwineTissue Engineering3D printing graftCFD optimizationcustomized branched TEVGin vivo implantation of TEVGneotissue formation

Identifiers

PMID31864694
PMCPMC7141946
OpenAlexW2979604316

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.