Evidence map›Paper›PMID 38451476›Full record

ArticleAdvanced healthcare materials2024

Off-the-Shelf Synthetic Biodegradable Grafts Transform In Situ into a Living Arteriovenous Fistula in a Large Animal Model.

Paul J Besseling, Wojciech Szymczyk, Martin Teraa, Raechel J Toorop, Dan Jing Wu, Rob C H Driessen, Arturo M Lichauco, Henk M Janssen, Melanie van de Kaa, Krista den Ouden and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Advanced healthcare materials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

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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

16 authors at 4 institutions in 1 country.

Paul J BesselingDepartment of Nephrology and Hypertension, Regenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht University, Utrecht, 3584 CX, the Netherlands.ORCID 0000-0002-5636-6277
Wojciech SzymczykDepartment of Biomedical Engineering, and Institute for Complex Molecular Systems, Eindhoven University of Technology, Eindhoven, 5612 AZ, the Netherlands.
Martin TeraaDepartment of Nephrology and Hypertension, Regenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht University, Utrecht, 3584 CX, the Netherlands.ORCID 0000-0002-6751-6752
Raechel J TooropDepartment of Vascular Surgery, University Medical Center Utrecht, Utrecht, 3584 CX, the Netherlands.
Dan Jing WuDepartment of Biomedical Engineering, and Institute for Complex Molecular Systems, Eindhoven University of Technology, Eindhoven, 5612 AZ, the Netherlands.ORCID 0000-0002-2234-861X
Rob C H DriessenDepartment of Biomedical Engineering, and Institute for Complex Molecular Systems, Eindhoven University of Technology, Eindhoven, 5612 AZ, the Netherlands.
Arturo M LichaucoDepartment of Biomedical Engineering, and Institute for Complex Molecular Systems, Eindhoven University of Technology, Eindhoven, 5612 AZ, the Netherlands.ORCID 0000-0001-8080-767X
Henk M JanssenSyMO-Chem B.V, Eindhoven, 5612 AZ, the Netherlands.
Melanie van de KaaDepartment of Nephrology and Hypertension, Regenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht University, Utrecht, 3584 CX, the Netherlands.ORCID 0000-0002-8174-8365
Krista den OudenDepartment of Nephrology and Hypertension, Regenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht University, Utrecht, 3584 CX, the Netherlands.
Petra M de BreeDepartment of Nephrology and Hypertension, Regenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht University, Utrecht, 3584 CX, the Netherlands.ORCID 0000-0003-3860-3459
Joost O FledderusDepartment of Nephrology and Hypertension, Regenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht University, Utrecht, 3584 CX, the Netherlands.ORCID 0000-0002-7353-2572
Carlijn V C BoutenDepartment of Biomedical Engineering, and Institute for Complex Molecular Systems, Eindhoven University of Technology, Eindhoven, 5612 AZ, the Netherlands.ORCID 0000-0003-1035-5094
Gert J de BorstDepartment of Vascular Surgery, University Medical Center Utrecht, Utrecht, 3584 CX, the Netherlands.ORCID 0000-0002-1389-4141
Patricia Y W DankersDepartment of Biomedical Engineering, and Institute for Complex Molecular Systems, Eindhoven University of Technology, Eindhoven, 5612 AZ, the Netherlands.ORCID 0000-0002-8997-181X
Marianne C VerhaarDepartment of Nephrology and Hypertension, Regenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht University, Utrecht, 3584 CX, the Netherlands.ORCID 0000-0002-3276-6428
Utrecht University · NLEindhoven University of Technology · NLUniversity Medical Center Utrecht · NLSyMO-Chem (Netherlands) · NL

Funding

Dutch Kidney Foundation 436001003Dutch Kidney Foundation InSiTeVxNetherlands Organization for Scientific Research 024.003.013
6 · The paper itself

Abstract

Current vascular access options require frequent interventions. In situ tissue engineering (TE) may overcome these limitations by combining the initial success of synthetic grafts with long-term advantages of autologous vessels by using biodegradable grafts that transform into autologous vascular tissue at the site of implantation. Scaffolds (6 mm-Ø) made of supramolecular polycarbonate-bisurea (PC-BU), with a polycaprolactone (PCL) anti-kinking-coil, are implanted between the carotid artery and jugular vein in goats. A subset is bio-functionalized using bisurea-modified-Stromal cell-derived factor-1α (SDF1α) derived peptides and ePTFE grafts as controls. Grafts are explanted after 1 and 3 months, and evaluated for material degradation, tissue formation, compliance, and patency. At 3 months, the scaffold is resorbed and replaced by vascular neo-tissue, including elastin, contractile markers, and endothelial lining. No dilations, ruptures, or aneurysms are observed and grafts are successfully cannulated at termination. SDF-1α-peptide-biofunctionalization does not influence outcomes. Patency is lower in TE grafts (50%) compared to controls (100% patency), predominantly caused by intimal hyperplasia. Rapid remodeling of a synthetic, biodegradable vascular scaffold into a living, compliant arteriovenous fistula is demonstrated in a large animal model. Despite lower patency compared to ePTFE, transformation into autologous and compliant living tissue with self-healing capacity may have long-term advantages.

Indexed as

Blood Vessel ProsthesisGoatsAbsorbable ImplantsAnimalsArteriovenous FistulaCarotid ArteriesChemokine CXCL12PolyestersTissue EngineeringTissue ScaffoldsVascular PatencyChemokine CXCL12PolyestersAV shuntbiodegradable supramolecular materialbiofunctionalizationgoat modelin situ tissue engineeringvascular dialysis access

Identifiers

PMID38451476
PMCPMC11469054
OpenAlexW4392563677

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.