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Current approaches, such as non\u2010adhesive polymeric sealants or vessel coiling, have unsatisfactory outcomes. Here, we present an injectable magnetoactive adhesive hydrogel (iMAH) for vascular repair in the challenging blood environment. Designed with biocompatible functional components, including the superparamagnetic component, a bio\u2010inspired tissue adhesive, and quick\u2010crosslinking agents, the catheter\u2010deployable iMAH can be magnetically guided to a targeted site, quickly crosslink within approximately 2\u00a0s, and strongly adhere to the vessel surface in dynamic conditions with circulating and pressurized blood. Moreover, magnetic actuation enables targeted gel deployment and can drive the iMAH into a narrow and confined space, squeezing out interfacial fluid to facilitate high\u2010strength tissue adhesion, as systematically investigated in vitro. 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With these demonstrated features, magnetically controlled delivery of injectable magnetoactive adhesive hydrogel provides a promising solution for vascular repair such as sealing ruptured vessels or embolizing abnormal arteries in the challenging blood environment.<\/jats:p>","DOI":"10.1002\/adma.202523024","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T06:47:35Z","timestamp":1770619655000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Magnetically Controlled Delivery of Injectable Magnetoactive Adhesive Hydrogel for Vascular Repair in the Challenging Blood Environment"],"prefix":"10.1002","volume":"38","author":[{"given":"Donglin","family":"Xie","sequence":"first","affiliation":[{"name":"School of Biomedical Engineering Shenzhen Campus of Sun Yat\u2010Sen University  Shenzhen China"},{"name":"Guangdong Provincial Key Laboratory of Sensor Technology and Biomedical Instrument 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