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Development of a Bioactive Polymeric Drug Eluting Coronary Stent Coating Using Electrospraying
C M McKittrick1, M J Cardona2, R A Black2
1Department of Biomedical Engineering, University of Strathclyde, Graham Hills Building, 40 George Street, Glasgow, G1 1QE, UK. craig.m.mckittrick@strath.ac.uk.
Insights
Researchers developed a novel drug-eluting stent coating using electrospray deposition. This new coating promotes endothelial regrowth and controlled drug release, potentially improving treatment for coronary artery disease patients.
Area of Science:
- Biomaterials Science
- Cardiovascular Medicine
- Drug Delivery Systems
Background:
- Drug-eluting stents (DES) reduce repeat revascularization for coronary artery disease but delay endothelial regrowth, necessitating prolonged dual anti-platelet therapy.
- Current DES technologies have limitations, failing to fully address issues like delayed re-endothelialization and associated risks.
- There is a need for advanced stent coatings that balance anti-proliferative drug delivery with promotion of vascular healing.
Purpose of the Study:
- To develop a novel stent coating with controlled sirolimus release from a bioactive polymer.
- To utilize electrospray deposition for precise control over coating characteristics and drug release kinetics.
- To create a dual-action coating promoting re-endothelialization and preventing in-stent restenosis and thrombosis.
Main Methods:
- Development of a novel stent coating using a bioactive polymer (accelerate™ AT) and sirolimus.
- Application of a bespoke electrospray deposition technique to control coating thickness, surface roughness, drug load, and release profile.
- In vitro evaluation of the coating's ability to support endothelial cell growth and controlled drug release.
Main Results:
- The electrospray deposition process allowed precise control over coating parameters.
- The optimized coating demonstrated rapid release of an anti-proliferative agent.
- The bioactive polymer component of the coating was shown to support endothelial cell growth in vitro.
Conclusions:
- A novel dual-action stent coating was successfully developed, combining controlled drug release with enhanced re-endothelialization.
- The electrospray deposition method offers precise control, enabling potential for personalized treatment approaches.
- This innovative coating shows significant therapeutic potential for reducing in-stent restenosis and thrombosis in cardiovascular disease.
Abstract:
Drug-eluting stents are now routinely used in the treatment of acute coronary syndromes caused by coronary artery disease. Whilst the sustained release of anti-proliferative drugs from these devices has greatly reduced the need for repeat revascularisation procedures, this approach is not suitable for all patients and appears to delay regrowth of the endothelium, necessitating the use of prolonged dual anti-platelet therapy. Although the development of more advanced stent platforms and drug coatings has produced modest improvements in performance, these devices have not fully addressed the limitations experienced with their first-generation counterparts. In the present study, we developed a novel stent coating that provides controlled sirolimus release from a bioactive polymer (accelerate™ AT) that has previously been shown to support endothelial cell growth in vitro. A bespoke electrospray deposition process provided control over the coating thickness, surface roughness, drug load, and release kinetics. The resultant optimised coating combines rapid release of an anti-proliferative agent from a bioactive polymer coating that promotes re-endothelialisation, thereby offering potential protection against in-stent restenosis and thrombosis. This novel, dual-action coating therefore has significant therapeutic potential, with the enhanced control of drug load and release kinetics offered by electrospray deposition also opening up opportunities for more personalised treatment approaches. Further development and evaluation of these technologies in vitro and in vivo is therefore warranted.
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