Effect of Novel Polymer-Free Nitrogen-Doped Titanium Dioxide Film-Coated Coronary Stent Loaded With Mycophenolic Acid.

Background: Titanium is commonly used in blood-exposed medical devices because it has superior blood compatibility. Mycophenolic acid inhibits the proliferation of vascular smooth muscle cells. This study examined the effect of a non-polymer TiO2 thin film-coated stent with mycophenolic acid in a porcine coronary overstretch restenosis model. Methods: Thirty coronary arteries in 15 pigs were randomized into three groups in which the coronary arteries were treated with a TiO2 film-coated stent with mycophenolic acid (NTM, n = 10), everolimus-eluting stent with biodegradable polymer (EES, n = 10), or TiO2 film-coated stent (NT, n = 10). A histopathologic analysis was performed 28 days after the stenting. Results: There were no significant intergroup differences in injury score, internal elastic lamina area, or inflammation score. Percent area stenosis was significantly smaller in the NTM and EES groups than in the NT group (36.1 ± 13.63% vs. 31.6 ± 7.74% vs. 45.5 ± 18.96%, respectively, p = 0.0003). Fibrin score was greater in the EES group than in the NTM and NT groups [2.0 (range, 2.0-2.0) vs. 1.0 (range, 1.0-1.75) vs. 1.0 (range, 1.0-1.0), respectively, p < 0.0001]. The in-stent occlusion rate measured by micro-computed tomography demonstrated similar percent area stenosis rates on histology analysis (36.1 ± 15.10% in NTM vs. 31.6 ± 8.89% in EES vs. 45.5 ± 17.26% in NT, p < 0.05). Conclusion: The NTM more effectively reduced neointima proliferation than the NT. Moreover, the inhibitory effect of NTM on smooth muscle cell proliferation was not inferior to that of the polymer-based EES with lower fibrin deposition in this porcine coronary restenosis model.

Surface morphology of highly ordered nanotube formed and laser textured beta titanium alloys.

The aim of the present study is to produce and characterize a well-controlled surface texture on Ti-35Nb-xHf alloys to promote osseointegration. Ti-35Nb-xHf (x = 0, 3, 7 and 15 wt.%) alloys were prepared by arc melting and heat treated for 12 hr at 1000 degrees C in an argon atmosphere and then water quenching. For surface texturing, an amplified Ti: sapphire laser system was used for generating 184 femtosecond (FS, 10(-15) sec) laser pulses with the pulse energy over 30 mJ at a 1 kHz repetition rate with a central wavelength of 800 nm. The nanotube formation was achieved by anodizing a Ti-35Nb-xHf alloy in H3PO4 electrolytes containing 0.8 wt.% NaF at room temperature. The surface morphology of nano/micro structure will enhance osseointegration and cell adhesion.

Corrosion behavior of nanotubular oxide on the Ti-29Nb-xZr alloy.

This work reports the corrosion behavior of nanotubular oxide layers on Ti-29Nb-xZr alloys with different compositions by anodization in 1 M H3PO4 + 0.8 wt% NaF. Depending on the alloy composition, nanoporous or highly ordered nanotube structures can be formed. The nanotube oxides on the Ti-29Nb-xZr alloy showed lower corrosion current density compared to non-treated sample.