Bioprosthetic tissue with reduced calcification
A treatment for bioprosthetic tissue used in implants or for assembled bioprosthetic heart valves to reduce in vivo calcification. The method includes applying a calcification mitigant such as a capping agent or an antioxidant to the tissue to specifically inhibit oxidation in tissue. Also, the method can be used to inhibit oxidation in dehydrated tissue. The capping agent suppresses the formation of binding sites in the tissue that are exposed or generated by the oxidation and otherwise would, upon implant, attract calcium, phosphate, immunogenic factors, or other precursors to calcification. In one method, tissue leaflets in assembled bioprosthetic heart valves are pretreated with an aldehyde capping agent prior to dehydration and sterilization.
1. A bioprosthetic tissue comprising:
an at least partially cross-linked biological tissue comprising one or more functional groups that have been reacted with an ethanolamine, a hydroxylysine, a taurine, a dextran sulfate, a chondroitin sulfate, a polyvinyl alcohol, a 3-deoxyglucosone, a hydrazine, an adipic hydrazide, and a heparin, wherein the functional groups are selected from the group consisting of an aldehyde and a carboxylic acid.
2. The bioprosthetic tissue of claim 1 , wherein the biological tissue is selected from the group consisting of: bovine pericardium, porcine tissue, blood vessels, skin, dura matter, pericardium, small intestinal submucosa, tissue heart valves, ligaments, and tendons.
3. The bioprosthetic tissue of claim 1 , wherein the biological tissue is at least partially cross-linked with glutaraldehyde or other aldehyde-containing agents.
4. The bioprosthetic tissue of claim 1 , wherein the at least partially cross-linked biological tissue is exposed to a reducing agent.
5. The bioprosthetic tissue of claim 4 , wherein the reducing agent is a sodium borohydride or a sodium cyanoborohydride.
6. The bioprosthetic tissue of claim 1 , wherein the at least partially cross-linked biological tissue comprises glycerol.
7. The bioprosthetic heart valve of claim 6 , wherein the at least partially cross-linked biological tissue is sterilized by ethylene oxide, gamma irradiation or electron beam irradiation.
8. The bioprosthetic tissue of claim 1 , wherein the at least partially cross-linked biological tissue is at least partially dehydrated.
9. The bioprosthetic heart valve of claim 8 , wherein the at least partially cross-linked biological tissue is sterilized by ethylene oxide, gamma irradiation or electron beam irradiation.
10. A packaged bioprosthetic heart valve comprising:
a bioprosthetic heart valve comprising the bioprosthetic tissue of claim 1 ; and
a sterile packaging;
wherein the bioprosthetic heart valve is stored in the sterile packaging without a liquid preservative solution.