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Currently, small vessels for coronary artery bypass grafts are unavailable in clinical settings. Decellularized small\u2010diameter tissue\u2010engineered vessel grafts (SD\u2010TEVGs) hold significant potential. However, they face challenges, as simple implantation of decellularized SD\u2010TEVGs in animals leads to thrombosis and calcification due to incomplete endothelialization. Consequently, research and development focus has shifted toward enhancing the endothelialization process of decellularized SD\u2010TEVGs. This paper reviews preclinical studies involving decellularized SD\u2010TEVGs, highlighting different strategies and their advantages and disadvantages for achieving rapid endothelialization of these vascular grafts. Methods are analyzed to improve the process while addressing potential shortcomings. 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