Lai Fuqiang, Cao Changsheng, Zou Weiqiang, Li Yumei, Liu Wenge, Qiu Zhihuang, Chen Liangwan
Department of Cardiovascular Surgery, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, Fujian, 350001, China.
Key Laboratory of Cardio-Thoracic Surgery, (Fujian Medical University), Fujian Province University, Fuzhou, Fujian, China.
Sci Rep. 2025 Jul 2;15(1):23247. doi: 10.1038/s41598-025-06163-x.
Rapid and safe vascular anastomosis can improve the success rate of surgical procedures and further promote wound healing in patients. Vascular anastomosis connectors (VACs) hold significant potential for facilitating rapid and safe anastomosis. In this study, polylactic acid (PLA) and polycarbonate (PC-ISO) are selected as the materials to prepare VACs. The biomedical properties of the two materials are evaluated, and based on these results, conical thread snap-type VACs are designed. The anastomotic performance of the VACs is assessed using an extracorporeal mock circulation system (MCS). The results show that both PLA and PC-ISO degrade slowly in a simulated body fluid environment, with the sample weight change remaining within 0.37 wt%. Moreover, both materials exhibit good blood compatibility, showing no potential cytotoxicity. In addition, cells adhere well to their surfaces for proliferation, indicating strong biocompatibility. The in vitro MCS simulation tests reveal that both types of VACs can achieve rapid vascular anastomosis, meeting the performance requirements for tensile strength and leak resistance.
快速且安全的血管吻合术能够提高手术成功率,并进一步促进患者伤口愈合。血管吻合连接器(VAC)在实现快速且安全的吻合方面具有巨大潜力。在本研究中,选择聚乳酸(PLA)和聚碳酸酯(PC-ISO)作为制备VAC的材料。对这两种材料的生物医学特性进行了评估,并基于这些结果设计了锥形螺纹卡扣式VAC。使用体外模拟循环系统(MCS)评估VAC的吻合性能。结果表明,PLA和PC-ISO在模拟体液环境中均降解缓慢,样品重量变化保持在0.37 wt%以内。此外,两种材料均表现出良好的血液相容性,无潜在细胞毒性。另外,细胞能很好地附着在其表面进行增殖,表明具有很强的生物相容性。体外MCS模拟测试表明,两种类型的VAC均能实现快速血管吻合,满足拉伸强度和抗渗漏性能要求。