Micromantled drug-eluting stent
Pharmacologically active, easy-to-deploy, biomechanically compatible, inflatable endovascular, drug-eluting stent are formed of a primary expandable polymeric or metallic construct, intimately mantled with a biomechanically compatible, polymeric microporous, microfibrous, compliant, stretchable fabric formed by direct electrospinning onto the outside surface of the primary construct using at least one polymer solution containing at least one active compound, selected from those expected to control key biological events leading to in-stent restenosis.
1. A micromantled, drug-eluting endovascular stent comprising a metallic, expandable, porous scaffold and a stretchable, compliant, microfibrous, non-woven mantle electrostatically spun directly on the scaffold, the mantle containing at least one bioactive agent, the mantle comprising microfibers made from at least one copolymer selected from absorbable polyaxial copolyesters and C-succinylated absorbable polyaxial copolyesters.
2. A micromantled, drug-eluting endovascular stent as in claim 1 wherein the at least one bioactive agent is selected from the group consisting of antimicrobial agents, antineoplastic agents, immunosuppresants, non-steroidal anti-inflammatory drugs, antibiotics, anti-arthritic agents, smooth muscle cell growth inhibitors, anti-proliferative agents, anti-infective agents and endothelial cell growth promoters.
3. A micromantled, drug-eluting endovascular stent as in claim 1 wherein the at least one bioactive agent is selected from the group consisting of leflunamide, clotrimazole, thalidomide, methotrexate, indomethacin, dexamethasone, D-penicillamine, mycophenolate mofetil, dihydrofolate reductase, deferoxamine, paclitaxel, curcumin, raparmycin, trimetrexate glucuronate, naproxen, mitomycin, mitoxantrone, and topotecan.
4. A micromantled, drug-eluting endovascular stent as in claim 1 wherein the mantle comprises an electrostatically spun fabric comprising at least two types of microfibers, each of the at least two types of microfibers containing dissimilar bioactive agents.
5. A micromantled, drug-eluting endovascular stent as in claim 4 wherein the at least two types of microfibers elute the bioactive agents at differing rates.
6. A micromantled, drug-eluting endovascular stent as in claim 5 wherein faster eluting microfibers comprise at least one bioactive agent selected from the group consisting of non-steroidal anti-inflammatory drugs, immunosuppressants, anti-arthritic agents and endothelial cell growth promoters, and slower eluting microfibers comprise at least one bioactive agent selected from the group consisting of antiproliferative agents, antineoplastic agents, antimicrobial agents, and smooth muscle cell growth inhibitors.