Fabrication of Nanocomposites with High Elasticity and Strength for the Load-Bearing Layer of Small-Diameter Vascular Grafts.

Abstract

Compliance mismatch of commercially available artificial grafts, where the artificial graft and the native vessel are subject to different radial expansions, is a major issue that results in graft occlusion after implantation. A human artery possesses a nonlinear mechanical response to pulsatile pressure due to its nonlinear viscoelastic nature, which is difficult to replicate in artificial graft fabrication. Here, we fabricated nanocomposites with nonlinear mechanical responses for potential application as the load-bearing layer of vascular grafts, based on a poly(dimethylsiloxane) (PDMS)-casted nanofibrous film. The nanofibers consisted of a core-sheath structure with a PDMS elastomer reinforced with poly(methyl methacrylate) (PMMA) nanofibers as the sheath and thermoplastic polyurethane (TPU) elastomer as the core. The surface morphology and chemical composition together with the crystalline structure of the nanocomposites were characterized, and dynamic mechanical analysis was performed to select the graft with the most suitable properties as the load-bearing layer of a small-diameter vascular graft. The presence of the stiff polymer PMMA and elastic polymer TPU in the PMMA/PDMS/TPU combination resulted in a delayed dissipation of energy after exposure to a force corresponding to 180 mm Hg. Casting the PDMS/PMMA/TPU nanofibrous mat into a nanocomposite film improved the ultimate tensile strength of PDMS without compromising its elasticity. The compliance values of the nanocomposites were also found to be a close match to those of the greater saphenous vein, demonstrating a great potential of the nanocomposites as the load-bearing layer in a biostable vascular graft.