CN108478863A - The preparation method and products thereof of compound small-caliber artificial blood vessel - Google Patents

The preparation method and products thereof of compound small-caliber artificial blood vessel Download PDF

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Publication number
CN108478863A
CN108478863A CN201810374391.1A CN201810374391A CN108478863A CN 108478863 A CN108478863 A CN 108478863A CN 201810374391 A CN201810374391 A CN 201810374391A CN 108478863 A CN108478863 A CN 108478863A
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blood vessel
artificial blood
compound small
preparation
caliber artificial
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胡廷章
李文萍
冉小琳
蔺松
王贵学
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Chongqing University
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Chongqing University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/507Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials for artificial blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/062Apparatus for the production of blood vessels made from natural tissue or with layers of living cells
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14Macromolecular materials
    • A61L27/18Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14Macromolecular materials
    • A61L27/22Polypeptides or derivatives thereof, e.g. degradation products
    • A61L27/222Gelatin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14Macromolecular materials
    • A61L27/26Mixtures of macromolecular compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/3604Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix characterised by the human or animal origin of the biological material, e.g. hair, fascia, fish scales, silk, shellac, pericardium, pleura, renal tissue, amniotic membrane, parenchymal tissue, fetal tissue, muscle tissue, fat tissue, enamel
    • A61L27/3625Vascular tissue, e.g. heart valves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/3683Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix subjected to a specific treatment prior to implantation, e.g. decellularising, demineralising, grinding, cellular disruption/non-collagenous protein removal, anti-calcification, crosslinking, supercritical fluid extraction, enzyme treatment
    • A61L27/3687Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix subjected to a specific treatment prior to implantation, e.g. decellularising, demineralising, grinding, cellular disruption/non-collagenous protein removal, anti-calcification, crosslinking, supercritical fluid extraction, enzyme treatment characterised by the use of chemical agents in the treatment, e.g. specific enzymes, detergents, capping agents, crosslinkers, anticalcification agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L33/00Antithrombogenic treatment of surgical articles, e.g. sutures, catheters, prostheses, or of articles for the manipulation or conditioning of blood; Materials for such treatment
    • A61L33/0005Use of materials characterised by their function or physical properties
    • A61L33/0011Anticoagulant, e.g. heparin, platelet aggregation inhibitor, fibrinolytic agent, other than enzymes, attached to the substrate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L33/00Antithrombogenic treatment of surgical articles, e.g. sutures, catheters, prostheses, or of articles for the manipulation or conditioning of blood; Materials for such treatment
    • A61L33/06Use of macromolecular materials
    • A61L33/08Polysaccharides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0076Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof multilayered, e.g. laminated structures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0085Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof hardenable in situ, e.g. epoxy resins

Abstract

The present invention relates to a kind of preparation methods and products thereof of compound small-caliber artificial blood vessel, and preparation method includes the following steps:Coronary artery is subjected to de- cell processing, obtains and takes off cellular vascular;Then by de- cellular vascular test tube of hepari, then with the mixing electrospun solution of gelatin and poly- L lactides caprolactone (PLCL) carries out spinning, removal organic solvent obtains compound small-caliber artificial blood vessel;Artificial blood vessel obtained is double-layer tissue engineering blood vessel, using de- cell porcine coronary as artificial blood vessel's internal layer, has good compliance and cell compatibility, can promote sticking, be proliferated and break up, sprawling for cell, complete the endothelialization again of blood vessel;Outer layer is the blended layer of PLCL and gelatin, increases the mechanical property of blood vessel, is conducive to the isocellular intrusion of smooth muscle, forms the middle level of blood vessel;The inner surface of internal layer can use different drug modifications, such as heparin, improve artificial blood vessel's antithrombotic and endangium is promoted to be formed, be conducive to the reconstruction of blood vessel.

Description

The preparation method and products thereof of compound small-caliber artificial blood vessel
Technical field
The invention belongs to medical instrument preparation fields, are related to the preparation method of compound small-caliber artificial blood vessel, further relate to by Product made from this method.
Background technology
As the number for suffering from angiocardiopathy (Coronary artery disease, CAD) constantly rises, artificial blood vessel Transplanting demand increases year by year.Clinically, heavy caliber blood vessel has been obtained for applying well, but uses identical material system Small-caliber vascular (the diameter obtained<It 6mm) is but easy to happen thrombosis problem, reason may be with graft material performance itself It is related.Autologous vein is considered as the goldstandard clinically used, but autologous vein take to patient there are huge wound and Desirable limited amount, therefore find, the blood of good biocompatibility and its abundance similar with human body native blood vessel performance Tube material is particularly important.
De- cellular vascular, which eliminates heterogenous cell, can efficiently reduce rejection, while remain extracellular matrix, mainly For collagen and elastomer, these substances have very high homology in mammals, and species variation is small, and this blood vessel is due to source In native blood vessels, so having good compliance and cell compatibility, sticking, be proliferated and break up, spreading for cell can be promoted Exhibition, completes the endothelialization again of blood vessel.But vascular grafts, after de- cell processing, the endothelial cell of blood vessel is gone It removing, collagen exposes under inner membrance, can activate blood coagulation system, thus if de- cellular vascular is directly used as alternative materials implant It is interior, easily cause thrombus, patency rate is not high, and through take off cell processing after vascular mechanics reduced performance, elastin degradation Accelerate etc., so as to cause aneurysmal formation.
Therefore, it is badly in need of a kind of antithrombotic artificial blood vessel, and there is preferable mechanical property.
Invention content
In view of this, the purpose of the present invention is to provide a kind of preparation method of compound small-caliber artificial blood vessel, pass through use Drug such as heparin (heparin) modification takes off cell porcine coronary blood vessel (Decellularized porcine coronary Artery, DPCA), achieve the purpose that antithrombotic.Then electrostatic spinning technique is recycled, by Poly L-lactide-caprolactone (Poly (L-Lactide-co-caprolactone), abridge PLCL) and the mixed solution of gelatin (gelatin) spin on the surfaces DPCA, make For at compound small-caliber artificial blood vessel, i.e. double-layer tissue engineering blood vessel (Bilayer tissue-engineered vascular Graft, BTEV), increase the mechanical property of blood vessel.The second object of the present invention is to provide made from the preparation method Compound small-caliber artificial blood vessel.
In order to achieve the above objectives, the present invention provides the following technical solutions:
1. the preparation method of compound small-caliber artificial blood vessel, includes the following steps:Coronary artery is subjected to de- cell processing, It obtains and takes off cellular vascular;Then in the inner wall modified medicaments of de- cellular vascular, then with the mixing electrospun solution of gelatin and PLCL into Row spinning removes organic solvent, obtains compound small-caliber artificial blood vessel.
Preferably, the de- cell processing is to take out and be placed in -80 DEG C of ice coronary artery water Hypotonic treatment in 4h Case 30min, then 18~25 DEG C of placement 30min, are repeated 2 times;Hypotonic treatment uses the pancreatin 37 of mass fraction 0.125% afterwards for 24 hours DEG C shaking table 1.5h, removes remaining pancreatin;Last 4 DEG C are stored in containing in the dual anti-sterile PBS of Pen .- Strep or passing through It is preserved after vacuum freeze drier drying, wherein penicillin concn is 100U/ml, a concentration of 0.1mg/ml of streptomysin.
Preferably, the drug is heparin.
It is furthermore preferred that the method for de- cellular vascular modification test tube of hepari is as follows:2- (the N- of pH5.6,0.05mol/L will be taken Coffee quinoline) ethanesulfonic acid buffer, heparin, 1- (3- dimethylamino-propyls) -3- ethyl-carbodiimide hydrochlorides, N- hydroxysuccinimidyls is added Acid imide to final concentration is respectively 0.2g/mL, 0.3834g/mL, 0.23g/mL, and pre-reaction 10min makes the carboxylic of heparin at 37 DEG C Base activates;De- cellular vascular is added, 37 DEG C of response light microseisms are swung for 24 hours, are then used PBS neutralization reactions and are removed unbonded liver Element.Preferably, the mixing electrospun solution is by volume ratio 2:8 gelatin solution and PLCL solution compositions.
It is furthermore preferred that the mass fraction of institute's gelatine solution is 10%, the mass fraction of the PLCL solution is 10%.
It is formulated it is furthermore preferred that 20ml hexafluoroisopropanols are added by every 2g PLCL in the PLCL solution;The gelatin is molten Liquid is added 20ml hexafluoroisopropanols by every 2g gelatin and is formulated.
It is furthermore preferred that electrospun solution flow velocity is 1ml/h to the spinning condition in order to control, rotating speed 1000rpm, voltage are Electrospinning under the conditions of 12kV.
2. the compound small-caliber artificial blood vessel made from the preparation method.
Preferably, the compound small-caliber artificial blood vessel includes de- cell porcine coronary and PLCL and gelatin from the inside to the outside Blended layer, wherein de- cell porcine coronary inner wall is modified with heparin.It is furthermore preferred that the drug is heparin.
The beneficial effects of the present invention are:The invention discloses the preparation method of compound small-caliber artificial blood vessel, using de- Cell porcine coronary and electrostatic spinning prepare compound small-caliber artificial blood vessel (diameter<6mm);Compound small-caliber artificial obtained Blood vessel is double-layer tissue engineering blood vessel, including one section of de- cell porcine coronary has suitable well as artificial blood vessel's internal layer Answering property and cell compatibility can promote sticking, be proliferated and break up, sprawling for cell, complete the endothelialization again of blood vessel;Outer layer is The blended layer of PLCL and gelatin increase the mechanical property of blood vessel, are conducive to the isocellular intrusion of smooth muscle, are formed in blood vessel Layer;The inner surface of internal layer can use different drug modifications, improve artificial blood vessel's antithrombotic and endangium is promoted to be formed, be conducive to The reconstruction of blood vessel.
Description of the drawings
In order to keep the purpose of the present invention, technical solution and advantageous effect clearer, the present invention provides following attached drawing and carries out Explanation:
Fig. 1 is the de- cell coronary artery after vacuum freeze drying.
Fig. 2 is compound small-caliber artificial blood vessel (BTEV) and de- cell coronary artery (DPCA) figure.
Fig. 3 is the scanning electron microscope (SEM) photograph of compound small-caliber artificial blood vessel cross section (B is the partial enlarged view of A).
Fig. 4 is compound small-caliber artificial blood vessel cross-sectional view.
Fig. 5 is the histotomy figure of blood vessel graft and native blood vessels.
Specific implementation mode
Below in conjunction with attached drawing, the preferred embodiment of the present invention is described in detail.
The material Pigs Hearts used in the embodiment of the present invention is from the double upright stone tablet slaughterhouses of Chongqing Lian Xin Food Co., Ltd.
The preparation method of embodiment 1, compound small-caliber artificial blood vessel
The preparation method of compound small-caliber artificial blood vessel, is as follows:
(1) collection of vascular grafts
It is cleaned immediately with sterile saline after taking out heart, is subsequently placed in frost physiological saline and is transported to laboratory, with Afterwards using the careful separation Pigs Hearts blood vessel of tweezers and scissors, after removing fat and adherent tissue, with sterile cold saline pair Coronary artery carries out cleaning down;
(2) preparation of cellular vascular is taken off
The coronary artery of separation is placed in shaking table Hypotonic treatment in sterile distilled water for 24 hours, to take out in 4h and be placed in -80 DEG C Refrigerator 30min, is then placed at room temperature for 30min, and the above operation is repeated 2 times;Hypotonic treatment for 24 hours afterwards with 0.125% 37 DEG C of pancreatin Shaking table 1.5h, then 3h is handled with distilled water shaking table, thoroughly remove remaining pancreatin;Last 4 DEG C are stored in containing dual anti-(penicillin A concentration of 0.1mg/ml of a concentration of 100U/ml, streptomysin) sterile PBS in it is spare, or after vacuum freeze drier is dried It is stored in spare in drying box;Blood vessel after freeze-dried is as shown in Figure 1.
(3) test tube of hepari of cellular vascular is taken off
Heparin is made using 1- (3- dimethylamino-propyls) -3- ethyl-carbodiimide hydrochlorides and n-hydroxysuccinimide Amino forms stable amido bond with remaining carboxyl on acellular matrix.Concrete operations are:First take 2- (N- morpholines) second sulphur Acid buffer (0.05mol/L, pH5.6) 50mL, is added 0.1g heparin, 0.1917g EDC and 0.115g NHS, pre- anti-at 37 DEG C 10min is answered, by the activated carboxylic of heparin;De- cellular vascular is added, 37 DEG C of response light microseisms are swung for 24 hours, are then used in PBS and anti- Should and it remove unbonded heparin.
(4) preparation of electrospun solution
2g PLCL are weighed every time to be added in 25ml reagent bottles, and 20ml hexafluoroisopropanol organic solvents are added with liquid-transfering gun, match Mass fraction processed be 10% (the PLCL solution of polymer quality (g)/solvent volume (m1), at room temperature magnetite be stirred overnight or extremely Polymer is completely dissolved;Same method prepares the gelatin solution that mass fraction is 10%.Then use mass fraction be 10% it is bright The PLCL solution that sol solution and mass fraction are 10% by volume 2:8 configuration gelatin-PLCL mix electrospun solution.
(5) electrospinning prepares the blended layer of PLCL and gelatin
The de- cellular vascular of test tube of hepari is through dimension artificial blood vessel to receive on stick, is put into vacuum freeze drier mistake At night, it is 1ml/h, electrospinning under the conditions of rotating speed 1000rpm, voltage are 12kV, after electrospinning then to control electrospun solution flow velocity 72h or more is dried in vacuo to remove organic solvent as possible, obtains compound small-caliber artificial blood vessel.
Compound small-caliber artificial blood vessel obtained is as shown in Figures 2 and 3, after the sterilizing of 1% Peracetic acid, is placed in sterile physiological It is spare in brine.
The cross-sectional view of its artificial blood vessel is as shown in Figure 4.As seen from Figure 4, compound small-caliber artificial blood vessel by Interior to outer includes the blended layer of de- cell porcine coronary and PLCL and gelatin, wherein de- cell porcine coronary inner wall is modified with Heparin.Therefore, compound small-caliber artificial blood vessel inner wall produced by the present invention is modified with heparin, the purpose with antithrombotic;Outer layer PLCL and gelatin blended layer have increase blood vessel mechanical property.
Embodiment 2, artificial blood vessel are implanted into rat body
Using weight 300g or so SD rats as experimental subjects, 48h is fasted before artificial vessel replacement's experiment, uses grape instead Syrup is raised.0.5ml/100g dosage intraperitoneal injection of anesthesia is pressed with the chloraldurate of mass fraction 7%, waits for SD rat holonarcosis Afterwards, the hair that abdomen is then removed with shaver, is in dorsal position by rat, and four limbs stretching, extension is fixed on operating table.By Surgery 75% medicinal alcohol of position volume fraction sterilizes, and opens shadowless lamp and is directed at abdomen, cuts off skin, and abdomen is opened further along ventrimeson Stomach is pushed into both sides by chamber with wet cotton ball, then exposure abdominal aorta goes out abdominal aorta blood vessel with tweezers careful separation.With 100U/kg dosage injecting heparin sodium is pressed from tail vein afterwards, whole body test tube of hepari processing is carried out to rat.Thin vessels ligature in time, prevent Only accidental haemorrhage.After isolating abdominal aorta, inferior caval vein lower end and common iliac artery upper end are clamped with hopkins' vascular clamp, scissors for vessels is therefrom Between cut blood vessel.End to end anastomosis artificial blood vessel and rat aorta, uniformly take the needle, one week about 8 needle, first loose after coincideing The blood vessel clip of distal end is opened, situation of coincideing is observed, sees if there is leakage blood, if occurring at apparent leakage blood, is mended at leakage blood Needle;Then the blood vessel clip of proximal part is unclamped again, repeats to mend needle operation, until without leakage blood phenomenon.Wait for that both ends blood vessel clip unclamps Afterwards, without apparent leakage blood, and artificial blood vessel is well then considered as the success of artificial vessel replacement's autologous vein with autologous vein beating, then It takes out cotton balls, clear up abdominal cavity with physiological saline, musculature of coincideing step by step is finally closed skin.Entire vascular anastomosis is excessively program-controlled System is within 50min.
The middle film of blood vessel graft remolds process as shown in figure 5, with the extension of time, cell is gradually total to blood vessel pipe to people Infiltration in wall.After the transfer first week, blood vessel was wrapped up by cambium, is had a large amount of cells in cambium and is migrated by outer membrane To middle film, the degradation of outer layer electrostatic spinning shows part cavity;In second week, tube wall inner cell increases, and middle film and inner membrance are equal Have cellular infiltration, and form new intima, and the cell of middle film present it is certain put in order, the gap after electrostatic spinning degradation It is filled by cambium;When to 4th week, middle film inner cell aligns, and inner membrance is covered by cambium, realizes endothelialization, bullet Power plate shows waveform, entire blood vessel structure and is intended to normal vascular tissues.Illustrate composite double layer small-caliber artificial blood vessel The reconstruction being implanted with conducive to blood vessel.
Finally illustrate, preferred embodiment above is merely illustrative of the technical solution of the present invention and unrestricted, although logical It crosses above preferred embodiment the present invention is described in detail, however, those skilled in the art should understand that, can be Various changes are made to it in form and in details, without departing from claims of the present invention limited range.

Claims (10)

1. the preparation method of compound small-caliber artificial blood vessel, which is characterized in that include the following steps:Coronary artery is carried out de- thin Born of the same parents are handled, and are obtained and are taken off cellular vascular;Then in the inner wall modified medicaments of de- cellular vascular, then with gelatin and Poly L-lactide-oneself The mixing electrospun solution of lactone carries out spinning, removes organic solvent, obtains compound small-caliber artificial blood vessel.
2. the preparation method of compound small-caliber artificial blood vessel according to claim 1, it is characterised in that:The de- cell processing It is that coronary artery water Hypotonic treatment is taken out in 4h and is placed in -80 DEG C of refrigerator 30min, then 18~25 DEG C of placements 30min is repeated 2 times;Hypotonic treatment uses 37 DEG C of shaking table 1.5h of pancreatin of mass fraction 0.125% afterwards for 24 hours, removes remaining pancreas Enzyme;Last 4 DEG C are stored in containing being preserved in the dual anti-sterile PBS of Pen .- Strep or after vacuum freeze drying, wherein Penicillin concn is 100U/ml, a concentration of 0.1mg/ml of streptomysin.
3. the preparation method of compound small-caliber artificial blood vessel according to claim 1, it is characterised in that:The drug is liver Element.
4. the preparation method of compound small-caliber artificial blood vessel according to claim 3, it is characterised in that:De- cellular vascular modification The method of test tube of hepari is as follows:2- (N- morpholines) ethanesulfonic acid buffer of pH5.6,0.05mol/L will be taken, heparin, 1- (3- is added Dimethylamino-propyl) -3- ethyl-carbodiimide hydrochlorides, n-hydroxysuccinimide to final concentration be respectively 0.2g/mL, 0.3834g/mL, 0.23g/mL, pre-reaction 10min makes the activated carboxylic of heparin at 37 DEG C;Add de- cellular vascular, 37 DEG C Response light microseism is swung for 24 hours, is then used PBS neutralization reactions and is removed unbonded heparin.
5. the preparation method of compound small-caliber artificial blood vessel according to claim 1, it is characterised in that:The mixing electrospinning is molten Liquid is by volume ratio 2:8 gelatin solution and Poly L-lactide-caprolactone solution composition.
6. the preparation method of compound small-caliber artificial blood vessel according to claim 4, it is characterised in that:Institute's gelatine solution Mass fraction is 10%, and the mass fraction of the Poly L-lactide-caprolactone solution is 10%.
7. the preparation method of compound small-caliber artificial blood vessel according to claim 1, it is characterised in that:The poly- L- third is handed over Ester-caprolactone solution is added 20ml hexafluoroisopropanols by every 2g Poly L-lactide-caprolactone and is formulated;Institute's gelatine solution is pressed 20ml hexafluoroisopropanols are added per 2g gelatin to be formulated.
8. the preparation method of compound small-caliber artificial blood vessel according to claim 1, it is characterised in that:The spinning condition is Control electrospun solution flow velocity is 1ml/h, electrospinning under the conditions of rotating speed 1000rpm, voltage are 12kV.
9. the compound small-caliber artificial blood vessel made from claim 1~8 any one of them preparation method.
10. compound small-caliber artificial blood vessel according to claim 9, it is characterised in that:The compound small-caliber artificial blood Pipe includes the blended layer of de- cell porcine coronary, Poly L-lactide-caprolactone and gelatin from the inside to the outside, wherein de- cell pig hat Shape Wall of Artery is modified with drug.
CN201810374391.1A 2018-04-24 2018-04-24 The preparation method and products thereof of compound small-caliber artificial blood vessel Pending CN108478863A (en)

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CN109498839A (en) * 2018-11-13 2019-03-22 南开大学 A kind of biology composite artificial blood vessel and application
CN110755174A (en) * 2019-10-31 2020-02-07 重庆大学 Biological mixed type artificial blood vessel and preparation method thereof
CN111850818A (en) * 2019-04-30 2020-10-30 深圳市罗湖区人民医院 Preparation method and product of conjugate electrospun nanofiber artificial small-caliber intravascular stent
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CN113855859A (en) * 2021-05-28 2021-12-31 首都医科大学宣武医院 Small-caliber tissue engineering blood vessel constructed by acellular vascular matrix and capable of promoting rapid endothelialization
CN115137881A (en) * 2022-07-27 2022-10-04 天津大学温州安全(应急)研究院 Three-layer bionic artificial blood vessel with antithrombotic and tissue regeneration promoting functions and preparation method thereof

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109498839A (en) * 2018-11-13 2019-03-22 南开大学 A kind of biology composite artificial blood vessel and application
CN111850818A (en) * 2019-04-30 2020-10-30 深圳市罗湖区人民医院 Preparation method and product of conjugate electrospun nanofiber artificial small-caliber intravascular stent
CN111850818B (en) * 2019-04-30 2022-07-15 深圳市罗湖区人民医院 Preparation method and product of conjugate electrospun nanofiber artificial small-caliber intravascular stent
CN112274699A (en) * 2019-07-24 2021-01-29 西安交通大学医学院第一附属医院 Small-caliber tissue improved composite artificial blood vessel
CN110755174A (en) * 2019-10-31 2020-02-07 重庆大学 Biological mixed type artificial blood vessel and preparation method thereof
CN110755174B (en) * 2019-10-31 2021-10-15 重庆大学 Biological mixed type artificial blood vessel and preparation method thereof
CN113855859A (en) * 2021-05-28 2021-12-31 首都医科大学宣武医院 Small-caliber tissue engineering blood vessel constructed by acellular vascular matrix and capable of promoting rapid endothelialization
CN115137881A (en) * 2022-07-27 2022-10-04 天津大学温州安全(应急)研究院 Three-layer bionic artificial blood vessel with antithrombotic and tissue regeneration promoting functions and preparation method thereof
CN115137881B (en) * 2022-07-27 2023-08-25 天津大学温州安全(应急)研究院 Three-layer bionic artificial blood vessel for resisting thrombus and promoting tissue regeneration and preparation method thereof

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