Superhydrophobic blood-repellent tubes for clinical cardiac surgery

Autor: Zhaoyun Sun, Lei Ding, Wei Tong, Chen Ma, Dinglin Yang, Xiang Guan, Yangfan Xiao, Kailun Xu, Qingguo Li, Cunjing Lv
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Materials & Design, Vol 232, Iss , Pp 112148- (2023)
Druh dokumentu: article
ISSN: 0264-1275
DOI: 10.1016/j.matdes.2023.112148
Popis: Superhydrophobic coatings are gaining importance not only in military technology, industrial engineering, power systems and transportation, but also in food science and biomedicine, where they have enormous potential for real-time applications. Many research institutes have recently been working on the development of superhydrophobic blood-repellent tubes to replace clinical heparin-coated tubes during ECMO therapy, but biological toxicity and high blood adhesion have significantly hampered their practical applications. In this study, we created a cardiopulmonary bypass tube with good superhydrophobicity and blood repellency. In terms of biotoxicity, coagulation time, protein and platelet adsorption, the results show that the superhydrophobic-treated tube clotted in 36 min, compared to 21 min for a clinical Bioline heparin-coated tube and 14 min for bare PVC tube. When compared to the bare PVC tube, the clotting time of the superhydrophobic-treated tube was increased by 157% due to the Cassie-Baxter wetting state of the resulting superhydrophobic blood-repellent coating. Meanwhile, the protein and platelet adsorption on the superhydrophobic-treated tube were decreased by 32% and 74%, respectively. It should be noted that we were the first to explain the superhydrophobic anti-platelet adsorption mechanism from the perspective of inhibiting thromboxane-A2 secretion during blood coagulation. Clarification of platelet activation process and activating substances is vital for understanding the anticoagulant properties of superhydrophobic coatings. On the other hand, non-inflammatory response of the organism was confirmed in the vivo experiments and the cell viability after a 48-hour cytotoxicity assay was about 101%, indicating that the superhydrophobic-treated tubes are non-toxic.
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