Korean J Thorac Cardiovasc Surg.
1999 Nov;32(11):989-997.
Calcification-resistant Effect of Surface-modified Biologic Arteries
by Sulfonated Polyethyleneoxide
- Affiliations
-
- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine,
Korea University. Seoul, Korea.
- 2Polymer Chemistry Laboratory, Korea Institute of Science and Technology,
Seoul, Korea.
Abstract
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BACKGROUND: Calcific degeneration is the major cause of clinical failure of glutaraldehyde
(GA) crosslinked bioprosthetic tissues implanted in the body and necessitates the reoperation
or causes death. Surface modification of biologic tissues using sulfonated polyethyleneoixde
(PEO-SO3) has been suggested to significantly enhance blood compatibility, biostability and
calcification-resistance by means of the synergistic effect of highly mobile and hydrophilic
PEO chains and electrical repulsion of negatively charged sulfonate groups. This study was
designed to evaluate the anticalcification effect of surface-modification of biologic
arteries by direct coupling of PEO-SO3 after GA fixation and changes of calcification
according to the implantation period through the quantitative investigation of the deposited
calcium and phosphorous contents of the biologic arterial tissues in the canine circulatory
implantation model.
MATERIAL AND METHOD: Total of 16 fresh canine carotid arteries were harvested from eight
adult dogs and divided in to GA group(n =8) and PEO-SO3 group(n=8). Sulfonation of
diamino-terminated PEO was performed using propane sultone. Canine carotid arteries were
only crosslinked with 0.65% GA solution in GA group and modified by direct coupling 5% PEO-SO3
solution after GA crosslinkage for 2 days and stabilized by NaBH4 solution for 16 hours in
PEO-SO3 group. In both groups the resected segment of bilateral carotid arteries were
reconstructed. Reconstructed segments of the two groups were analysed the quantities
of calcium and phosphorous contents after 3(n=4) and 6(n=4) weeks in vivo.
RESULT: After implantation of 3 seeks, PEO-SO3 group showed significantly less depositions.