Method for protecting skeletonized blood vessels
Skeletonized blood vessels for use as vascular grafts are protected from biomechanical injury and/or certain cellular and extracellular changes by application of a biocompatible hydrogel to the vessel exterior. The hydrogel may be applied to the vessel graft before or after harvesting from a donor patient.
1. A method for protecting a skeletonized blood vessel, comprising forming a coating on at least a portion of an outer surface of the skeletonized blood vessel, wherein the coating comprises a biocompatible hydrogel.
2. The method of claim 1 , wherein the blood vessel is a vein.
3. The method of claim 1 , wherein the blood vessel is an artery.
4. The method of claim 1 , wherein the blood vessel is selected from the group consisting of aortas, carotid arteries, coronary arteries, internal mammary arteries, internal thoracic arteries, radial arteries, femoral arteries, gastroepiploic arteries, popliteal arteries, and saphenous veins.
5. The method of claim 4 , wherein the blood vessel is a saphenous vein.
6. The method of claim 1 , wherein the skeletonized blood vessel is harvested from a donor, further comprising depositing the coating on the outer surface of the skeletonized blood vessel in the donor before harvesting.
7. The method of claim 1 , further comprising delivering to the outer surface a composition comprising two or more hydrogel precursor reactants, whereby the two or more hydrogel precursor reactants react and form the coating on the outer surface.
8. The method of claim 1 , wherein the hydrogel comprises a cross-linked polymer network formed by reaction of a first functionalized base polymer comprising at least two first reactive groups and a second functionalized base polymer comprising at least two second reactive groups, the second reactive groups being reactive with the first reactive groups, thereby forming the cross-linked polymer network.
9. The method of claim 1 , wherein the hydrogel has a modulus of from about 600 Pa to 13,000 Pa.
10. The method of claim 1 , wherein the cross-linked polymer network comprises a heterogeneous component.
11. The method of claim 8 , wherein the first reactive groups comprise maleimide moieties, and wherein the second reactive groups comprise thiol moieties.
12. The method of claim 8 , wherein the first and second functionalized base polymers are selected from the group consisting of polyethylene glycol, poly(ethylene oxide), poly(vinyl alcohol), poly(N-alkyl acrylamide)s, poly(ester)s, poly(N-vinylpyrrolidone), poly(vinyl acetate), proteins, polypeptides, peptides, polysaccharides, and copolymers, conjugates or mixtures thereof.
13. The method of claim 12 , wherein the first and second functionalized base polymers comprise functionalized polyethylene glycol.
14. The method of claim 13 , wherein the first functionalized base polymer comprises n 1 -arm-PEG-MALEIMIDE, wherein n 1 is an integer from 2 to 12, and wherein the second functionalized base polymer comprises n 2 -arm-PEG-SH wherein n 2 is an integer from 2 to 12.
15. A method for harvesting a skeletonized blood vessel from a donor, comprising exposing a blood vessel in a donor, skeletonizing the exposed blood vessel, and forming a coating comprising a biocompatible hydrogel on at least a portion of an outer surface of the exposed skeletonized blood vessel.
16. A skeletonized blood vessel coated with a biocompatible hydrogel on at least a portion of an outer surface of the skeletonized blood vessel.
17. The skeletonized blood vessel of claim 16 , wherein the skeletonized blood vessel is harvested from a donor.
18. The method of claim 1 , wherein the hydrogel is deployed only on the outer surface and around the circumference of the skeletonized blood vessel.
19. The method of claim 1 , further comprising delivering to the outer surface a composition comprising two or more hydrogel precursor reactants, whereby the two or more hydrogel precursor reactants react and form the coating on the outer surface, and wherein the hydrogel has a modulus of from about 600 Pa to 13,000 Pa.
20. The method of claim 15 , further comprising delivering to the outer surface a composition comprising two or more hydrogel precursor reactants, whereby the two or more hydrogel precursor reactants react and form the coating on the outer surface, and wherein the hydrogel has a modulus of from about 600 Pa to 13,000 Pa.