title: Modification, crosslinking and reactive electrospinning of a thermoplastic medical polyurethane for vascular graft applications.
abstract: Thermoplastic polyurethanes are used in a variety of medical devices and experimental tissue engineering scaffolds. Despite advances in polymer composition to improve their stability, the correct balance between chemical and mechanical properties is not always achieved. A model compound (MC) simulating the structure of a widely used medical polyurethane (Pellethane) was synthesized and reacted with aliphatic and olefinic acyl chlorides to study the reaction site and conditions. After adopting the conditions to the olefinic modification of Pellethane, processing into flat sheets, and crosslinking by thermal initiation or ultraviolet radiation, mechanical properties were determined. The modified polyurethane was additionally electrospun under ultraviolet light to produce a crosslinked tubular vascular graft prototype. Model compound studies showed reaction at the carbamide nitrogen, and the modification of Pellethane with pentenoyl chloride could be accurately controlled to up to 20% (correlation: rho=0.99). Successful crosslinking was confirmed by insolubility of the materials. Initiator concentrations were optimized and the crosslink densities shown to increase with increasing modification. Crosslinking of Pellethane containing an increasing number of pentenoyl groups resulted in decreases (up to 42%, p<0.01) in the hysteresis and 44% in creep (p<0.05), and in a significant improvement in degradation resistance in vitro. Modified Pellethane was successfully electrospun into tubular grafts and crosslinked using UV irradiation during and after spinning to render them insoluble. Prototype grafts had sufficient burst pressure (>550 mm Hg), and compliances of 12.1+/-0.8 and 6.2+/-0.3%/100 mm Hg for uncrosslinked and crosslinked samples, respectively. It is concluded that the viscoelastic properties of a standard thermoplastic polyurethane can be improved by modification and subsequent crosslinking, and that the modified material may be electrospun and initiated to yield crosslinked scaffolds. Such materials hold promise for the production of vascular and other porous scaffolds, where decreased hysteresis and creep may be required to prevent aneurismal dilation.
authors.affiliation: Cardiovascular Research Unit, University of Cape Town, Cape Town, South Africa.
authors.forename: J P
authors.initials: JP
authors.lastname: Theron
authors.forename: J H
authors.initials: JH
authors.lastname: Knoetze
authors.forename: R D
authors.initials: RD
authors.lastname: Sanderson
authors.forename: R
authors.initials: R
authors.lastname: Hunter
authors.forename: K
authors.initials: K
authors.lastname: Mequanint
authors.forename: T
authors.initials: T
authors.lastname: Franz
authors.forename: P
authors.initials: P
authors.lastname: Zilla
authors.forename: D
authors.initials: D
authors.lastname: Bezuidenhout
mesh_terms: D001807:Blood Vessel Prosthesis; D009682:Magnetic Resonance Spectroscopy; D008855:Microscopy, Electron, Scanning; D011140:Polyurethanes / Q000737:chemistry*; D021241:Spectrometry, Mass, Electrospray Ionization; D017550:Spectroscopy, Fourier Transform Infrared; D013718:Tensile Strength
chemical_list: D011140:Polyurethanes