Dj. Dempsey et al., SYNTHESIS OF A NOVEL SMALL-DIAMETER POLYURETHANE VASCULAR GRAFT WITH REACTIVE BINDING-SITES, ASAIO journal, 44(5), 1998, pp. 506-510
Development of a small diameter (4 mm inner diameter [ID]) prosthetic
vascular graft with functional groups accessible for covalent binding
of recombinant hirudin (a potent anticoagulant) should create a more h
emocompatible surface. The purpose of this study was to develop a tech
nique for generating carboxylic acid groups on the surface of precast
4 mm ID poly-(carbonate urea)-urethane vascular grafts and to evaluate
the accessibility of these groups. A polycarbonate based urethane wit
h the chain extender 2,2-bis(hydroxymethyl)-propionic acid was synthes
ized. A precast 4 mm ID poly-(carbonate urea)-urethane vascular graft
(Chronoflex [CF]; CardioTech International, Woburn, MA) was then place
d into a 4% carboxylated polyurethane (cPU) solution tin 1% dimethyl a
cetamide) and incubated for 30 minutes (cPU graft). To determine the a
ccessibility of the carboxylic acid groups, a standard textile techniq
ue using methylene blue dye was used. Macroscopic cross-sections, whic
h were cut and evaluated for dye penetration, showed greatest concentr
ation of carboxylic acid groups at the luminal and capsule surfaces, w
ith minimal penetration into the mid-portion of the graft. Analysis of
dye baths for absorbance reduction resulted in the cPU grafts having
3.7-fold and 5.4-fold more accessible carboxylic acid groups compared
with untreated and dimethyl acetamide dipped CF grafts. Thus, a novel
small diameter vascular graft has been developed that contains reactiv
e carboxylic acid groups accessible for protein binding.