Electrospinning of Biomaterials for Vascular Regeneration

Cardiovascular diseases have been the leading cause of morbidity and mortality in the world recently. With the growing aging population accompanied by chronic diseases, such as uremia and diabetes, there is an increasing clinical demand for vascular grafts with proper performance. Although some achievements have been made in the development of tissue-engineered vascular grafts composed of natural and synthetic polymeric materials or decellularized vessels, clinical applications with a diameter of less than 6 mm are still principally derived from autografts, such as autologous saphenous veins. Many challenges remain in antithrombosis, rapid endothelialization, modulating the inflammatory response and inhibition of intimal hyperplasia and calcification. In the review, recent progress in the electrospinning of biodegradable polymers for vascular regeneration are summarized, especially from the view of biomechanical factors. Hybrid vascular grafts consisting of natural and synthetic polymers with multicomponent, di- or tri-layers are focused in order to provide novel experiences in biomaterials for applications in this field.