Surface Modification Using Ultraviolet-Ozone Treatment Enhances Acute Drug Transfer in Drug-Coated Balloon Therapy

Endovascular deployment of drug-coated balloons (DCB) is an emerging strategy for the revascularization of arterial disease. Randomized clinical trials have demonstrated DCB effectiveness, but a recent meta-analysis reported increased mortality risk in humans with use of DCBs containing the common a...

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Veröffentlicht in:Langmuir : the ACS journal of surfaces and colloids. - 1999. - 36(2020), 17 vom: 05. Mai, Seite 4645-4653
1. Verfasser: Azar, Dara (VerfasserIn)
Weitere Verfasser: Lott, Jared T, Jabbarzadeh, Ehsan, Shazly, Tarek, Kolachalama, Vijaya B
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:Langmuir : the ACS journal of surfaces and colloids
Schlagworte:Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Cardiovascular Agents Coated Materials, Biocompatible Pharmaceutical Preparations Ozone 66H7ZZK23N Paclitaxel P88XT4IS4D
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520 |a Endovascular deployment of drug-coated balloons (DCB) is an emerging strategy for the revascularization of arterial disease. Randomized clinical trials have demonstrated DCB effectiveness, but a recent meta-analysis reported increased mortality risk in humans with use of DCBs containing the common antiproliferative drug paclitaxel. While many factors could have contributed to adverse outcomes, current DCB designs have poor drug delivery efficiency, risk of systemic toxicity, and limited potential to retain therapeutic drug concentrations within the arterial wall following the procedure. Our study focuses on developing a strategy to enhance acute drug transfer from the balloon to the arterial wall over the short procedural window (∼30-120 s). We employed ultraviolet-ozone plasma (UVO) treatment to increase the hydrophilicity of a prototypical balloon material (Nylon-12) and subsequently applied a urea-paclitaxel coating previously shown to undergo favorable adhesive interactions with the arterial wall under simulated ex-vivo deployment. A series of assays were performed to characterize our experimental DCBs in terms of UVO-induced alterations in balloon surface hydrophobicity, formed coating microstructure, coating stability, and acute drug transfer to the arterial wall. Obtained results suggest that the UVO-based surface modification of angioplasty balloons is a promising design strategy and highlights the critical role of coating microstructure in determining the drug transfer efficiency in DCB therapy 
650 4 |a Journal Article 
650 4 |a Research Support, N.I.H., Extramural 
650 4 |a Research Support, Non-U.S. Gov't 
650 7 |a Cardiovascular Agents  |2 NLM 
650 7 |a Coated Materials, Biocompatible  |2 NLM 
650 7 |a Pharmaceutical Preparations  |2 NLM 
650 7 |a Ozone  |2 NLM 
650 7 |a 66H7ZZK23N  |2 NLM 
650 7 |a Paclitaxel  |2 NLM 
650 7 |a P88XT4IS4D  |2 NLM 
700 1 |a Lott, Jared T  |e verfasserin  |4 aut 
700 1 |a Jabbarzadeh, Ehsan  |e verfasserin  |4 aut 
700 1 |a Shazly, Tarek  |e verfasserin  |4 aut 
700 1 |a Kolachalama, Vijaya B  |e verfasserin  |4 aut 
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773 1 8 |g volume:36  |g year:2020  |g number:17  |g day:05  |g month:05  |g pages:4645-4653 
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