Key result
PEC maintains integrity better than PLGA and resists delamination, showing potential as a stent coating.
In vitro testing suggests poly(ethylene carbonate) is a highly promising biodegradable coating for drug-eluting stents due to its structural integrity and stable drug release profile.
PEC may offer oxidative stability advantages for stent coatings; in vitro data leave open in vivo performance and clinical utility.
An in vitro feasibility study of the use of poly(ethylene carbonate) (PEC) as a biodegradable coating material for drug-eluting stents is reported, and the performance of PEC is compared with that of poly(lactic-co-glycolic acid) (PLGA). Scanning electron microscopy (SEM) images of PEC and PLGA discs after treatment with an alkaline KO2 solution as a superoxide source showed that the PEC maintained its integrity whereas holes and small particles appeared during the treatment of PLGA. Sirolimus and paclitaxel were loaded into PEC and PLGA in order to study drug release performance. Attenuated total reflectance–infrared (ATR–FTIR) spectroscopy of sirolimus, PEC and the sirolimus-loaded PEC coating showed that no chemical reaction occurred between sirolimus and PEC. The results of atomic force microscopy (AFM) revealed that the mean roughness (Ra) values of the bare metal stent (BMS) and the drug-eluting stent (DES) were 2.3 nm and 1.0 nm, respectively. After balloon expansion experiments, no delamination or destruction of the PEC coating was observed. The drug release profile of sirolimus was different from that of paclitaxel when PEC was employed as the drug carrier, and the release curves of sirolimus were different when PEC and PLGA were used as drug carriers. All the experimental results demonstrated that PEC was one of the best potential stent-coating materials.
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Bian et al. (2012) studied this question. Poly(ethylene carbonate) (PEC) coating vs. Poly(lactic-co-glycolic acid) (PLGA) was evaluated on Coating integrity, drug release performance, and surface roughness. Poly(ethylene carbonate) maintained its integrity better than PLGA under superoxide treatment and showed no delamination after balloon expansion, demonstrating potential as a stent-coating material.
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