Coating of Dacron vascular grafts with an ionic polyurethane: a novel sealant with protein binding properties

The purpose of this study was to develop a novel sealant that would seal prosthetic vascular graft interstices and be accessible for protein binding. Crimped knitted Dacron vascular grafts were cleaned (CNTRL) and hydrolyzed in boiling sodium hydroxide (HYD). These HYD grafts were sealed using an 11% solids solution of a polyether-based urethane with carboxylic acid groups (PEU-D) via a novel technique that employs both trans-wall and luminal perfusion. Carboxylic acid content, determined via methylene blue dye uptake, was 2.3- and 4.2-fold greater in PEU-D segments (1.0 +/- 0.27 nmol/mg) as compared to HYD and CNTRL segments, respectively. Water permeation through PEU-D graft (1.1 +/- 2 ml/cm(2) min(-1)) was comparable to collagen-impregnated Dacron (9.8 +/- 10 ml/cm(2) min(-1)). Non-specific I-125-albumin (I-125-Alb) binding to PEU-D segments (18 +/- 3 ng/mg) was significantly lower than HYD and CNTRL segments. I-125-Alb linkage to PEU-D using the crosslinker EDC resulted in 5.7-fold greater binding (103 +/- 2 ng/mg) than non-specific PEU-D controls. However, covalent linkage of I-125-Alb to PEU-D was 4.9- and 5.9-fold less than CNTRL and HYD segments with EDC, respectively. Thus, ionic polyurethane can be applied to a pre-formed vascular graft, seal the interstices and create "anchor" sites for protein attachment. (C) 2001 Elsevier Science Ltd. All rights reserved.