Functional Properties of Polyurethane Ureteral Stents with PLGA and Papaverine Hydrochloride Coating

. 2021 Jul 19 ; 22 (14) : . [epub] 20210719

Jazyk angličtina Země Švýcarsko Médium electronic

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/pmid34299324

Despite the obvious benefits of using ureteral stents to drain the ureters, there is also a risk of complications from 80-90%. The presence of a foreign body in the human body causes disturbances in its proper functioning. It can lead to biofilm formation on the stent surface, which may favor the development of urinary tract infections or the formation of encrustation, as well as stent fragmentation, complicating its subsequent removal. In this work, the effect of the polymeric coating containing the active substance-papaverine hydrochloride on the functional properties of ureteral stents significant for clinical practice were assessed. Methods: The most commonly clinically used polyurethane ureteral Double-J stent was selected for the study. Using the dip-coating method, the surface of the stent was coated with a poly(D,L-lactide-glycolide) (PLGA) coating containing the papaverine hydrochloride (PAP). In particular, strength properties, retention strength of the stent ends, dynamic frictional force, and the fluoroscopic visibility of the stent during X-ray imaging were determined. Results: The analysis of the test results indicates the usefulness of a biodegradable polymer coating containing the active substance for the modification of the surface of polyurethane ureteral stents. The stents coated with PLGA+PAP coating compared to polyurethane stents are characterized by more favorable strength properties, the smaller value of the dynamic frictional force, without reducing the fluoroscopic visibility.

Zobrazit více v PubMed

Uthappa M.C., Cowan N.C. Retrograde or Antegrade Double-Pigtail Stent Placement for Malignant Ureteric Obstruction? Clin. Radiol. 2005;60:608–612. doi: 10.1016/j.crad.2004.11.014. PubMed DOI

Ilie V.G., Ilie V.I. Ureteric Stent Use-Part of the Solution and Part of the Problem. Curr. Urol. 2017;11:126–130. doi: 10.1159/000447206. PubMed DOI PMC

Al-Aown A., Kyriazis I., Kallidonis P., Kraniotis P., Rigopoulos C., Karnabatidis D. Ureteral Stents: New Ideas, New Designs. Ther. Adv. Urol. 2010;2:85–92. doi: 10.1177/1756287210370699. PubMed DOI PMC

Denstedt J.D., Reid G., Sofer M. Advances in Ureteral Stent Technology. World. J. Urol. 2000;18:237–242. doi: 10.1007/PL00007074. PubMed DOI

Stoller M.L., Meng M.V. Urinary Stone Disease. The Practical Guide to Medical and Surgical Management. 2007th ed. Humana Press; Totowa, NJ, USA: 2007.

Dyer R.B., Chen M.Y., Zagoria R.J., Regan J.D., Hood C.G., Kavanagh P.V. Complications of Ureteral Stent Placement. Radiographics. 2002;22:1005–1022. doi: 10.1148/radiographics.22.5.g02se081005. PubMed DOI

Ringel A., Richter S., Shalev M., Nissenkorn I. Late Complications of Ureteral Stents. Eur. Urol. 2000;38:41–44. doi: 10.1159/000020250. PubMed DOI

Finney R.P. Experience with New Double J Ureteral Catheter stent. J. Urol. 1978;120:678–681. doi: 10.1016/S0022-5347(17)57326-7. PubMed DOI

Solari V., Piotrowska A.P., Puri P. Altered expression of interstitial cells of Cajal in congenital ureteropelvic junction obstruction. J. Urol. 2003;1:2420–2422. doi: 10.1097/01.ju.0000097401.03293.f0. PubMed DOI

Lammers W.J., Ahmad H.R., Arafat K. Spatial and temporal variations in pacemaking and conduction in the isolated renal pelvis. Am. J. Physiol. Renal. Physiol. 1996;270:567–574. doi: 10.1152/ajprenal.1996.270.4.F567. PubMed DOI

Nakagawa Y. Mechanical Property of The Human Ureter. Jpn. J. Urol. 1989;80:1481–1488. doi: 10.5980/jpnjurol1989.80.1481. PubMed DOI

Rassoli A., Shafigh M., Seddighi A., Seddighi A., Daneshhparvar H., Fatouraee N. Biaxial Mechanical Properties of Human Ureter Under Tension. Urol. J. 2014;11:1678–1686. PubMed

Nagele U., Anastasiadis A.G., Amend B., Schilling D., Kuczyk M., Stenzl A., Sievert K.D. Steerable antegrade stenting: A new trick of the trade. Int. Braz. J. Urol. 2007;33:389–394. doi: 10.1590/S1677-55382007000300013. PubMed DOI

Lange D., Bidnur S., Hoag N., Chew B.H. Ureteral stent-associated complications-where we are and where we are going. Nat. Rev. Urol. 2015;12:17–25. doi: 10.1038/nrurol.2014.340. PubMed DOI

He F., Man L.B., Li G.Z., Liu N. Efficacy of α-Blocker in Improving Ureteral Stent-Related Symptoms: A Meta-Analysis of Both Direct And Indirect Comparison. Drug Des. Dev. Ther. 2016;10:1783–1793. doi: 10.2147/DDDT.S103195. PubMed DOI PMC

Golzari S., Soleimanpour H., Rahmani F., Mehr N.Z., Safari S., Heshmat Y., Bakhtavar H.E. Therapeutic Approaches for Renal colic in the Emergency Department: A Review Article. Anest. Pain Med. 2014;4:1–12. doi: 10.5812/aapm.16222. PubMed DOI PMC

Yencilek F., Aktas C., Goktas C., Yilmaz C., Yilmaz U., Sarica K. Role of Papaverine Hydrochloride Administration in Patients with Intractable Renal Colic: Randomized Prospective Trial. Urology. 2008;72:987–990. doi: 10.1016/j.urology.2008.07.030. PubMed DOI

Morris R.D., Sur R.L., Springhart W.P., Marguet C.G., Mathias B.J., Pietrow P.K. A Prospective, Randomize, Double-Blinded Placebo-Controlled Comparison of Extended Release Oxybutynin Versus Phenazopyridine for The Management of Postoperative Ureteral Stent Discomfort. J. Urol. 2008;71:792–795. PubMed

Beddingfield R., Pedro R.N., Hinck B., Kreidberg C., Feia K., Monga M. Alfuzosin To Relieve Ureteral Stent Discomfort: A Prospective, Randomized, Placebo Controlled Study. J. Urol. 2009;181:170–176. doi: 10.1016/j.juro.2008.09.026. PubMed DOI

Mardis H.K., Kroeger R.M., Hepperlen T.W. Polyethylene double-pigtail ureteral stents. Urol. Clin. N. Am. 1982;9:95–101. doi: 10.1016/S0094-0143(21)00720-5. PubMed DOI

Ray R.P., Mahapatra R.S., Modnal P.P., Pal D.K. Long-term complications of JJ stent and its management: A 5 year review. Urol. Ann. 2015;7:41–45. doi: 10.4103/0974-7796.148599. PubMed DOI PMC

Ahallal Y., Khannouk A., El Fassi M.J., Farih M.H. Risk Factor Analysis and Management of Ureteral Double-J stent complications. Rev. Urol. 2010;12:147–151. PubMed PMC

Kandemir A., Sonmez M.G. Treatment of fragmented and severely encustrated ureteral double-J stent forgotten for 11 years through multimodal endourological methods. Urol. Ann. 2019;11:310–313. doi: 10.4103/UA.UA_109_18. PubMed DOI PMC

Farshid S., Sharifi-Aghdas F., Varyani M. Fragmented ureteral stent extraction by antegrade and retrograde access: Using ureteroscope and nephroscope. Urol. Case Rep. 2019;24:100871. doi: 10.1016/j.eucr.2019.100871. PubMed DOI PMC

Tao G., Wu G., Yang L., Wang F., Han C., Liu F., Yuan J. Fragmentation of Severely encrusted ureteral stent indwelled for 4 years in a boy. Urol. Case Rep. 2017;12:1–3. doi: 10.1016/j.eucr.2016.11.016. PubMed DOI PMC

Goel H.K., Kundu A.K., Maji T.K., Pal D.K. Retained fragmented double J ureteric stent: A report of four cases with review of the literature. Saudi J. Kidney Dis. Transpl. 2015;26:747–750. doi: 10.4103/1319-2442.160199. PubMed DOI

Barros A.A., Oliviera C., Lima E., Duarte A.R.C., Reis R.L. Gelatin-based biodegradable ureteral stents with enhanced mechanical properties. App. Mater. Today. 2016;5:9–18. doi: 10.1016/j.apmt.2016.07.006. DOI

Wen C., Lu L., Li X. Mechanically Robust Gelatin-Alginate IPN Hydrogels IPN hydrogels by a combination of enzymatic and ionic crosslinking approaches. Macromol. Mater. Eng. 2013;299:504–513. doi: 10.1002/mame.201300274. DOI

Shan H., Cao Z., Chi C., Wang J., Wang X., Tian J., Yu B. Advances in drug delivery via biodegradable ureteral stent for the treatment of upper tract urothelial carcinoma. Front. Pharmacol. 2020;11:224. doi: 10.3389/fphar.2020.00224. PubMed DOI PMC

El-Rehewy M.S.K., El-Feky M.A., Hassan M.A., Abolella H.A., Abolyosr A., El-Baky R.M.A., Gad G.F. In Vitro Efficacy of Ureteral Catheters Impregnated with Ciprofloxacin, N-Acetylcysteine and Their Combinations on Microbial Adherence. Clin. Med. Urol. 2009;3:1–8.

Yang L., Whiteside S., Cadieux P.A., Denstedt J.D. Ureteral stent technology: Drug-eluting stents and stent coatings. Asian J. Urol. 2015;2:194–201. doi: 10.1016/j.ajur.2015.08.006. PubMed DOI PMC

Elayarajah E., Rajendran R., Venkatrajah B., Sreekumar S. Biopolymer Tocopherol Acetate as A Drug Carrier to Prevent Bacterial Biofilm Formation on Silicone Ureteral Stents. Int. J. Pharm. Sci. Rev. Res. 2011;7:96–103.

Jin S., Xia X., Huang J., Yuan C., Zuo Y., Li Y., Li J. Recent advances in PLGA-based biomaterials for bone tissue regeneration. Acta Biomateri. 2021;127:56–79. doi: 10.1016/j.actbio.2021.03.067. PubMed DOI

Babilotte J., Martin B., Guduric V., Bareille R., Agniel R. Development and characterization of a PLGA-HA composite material to fabricate 3D-printed scaffolds for bone tissue engineering. Mater. Sci. Eng. C. 2021;118:111334–111347. doi: 10.1016/j.msec.2020.111334. PubMed DOI

Shadman B., Asadi A., Zahri S., Barzegar A., Marzban A. Design of PLGA-based Scaffolds for Developing and Differentiating Mesenchymal Stem Cells (MSCs) Biointerface Res. Appl. Chem. 2021;11:12732–12742.

Chlopek J., Morawska-Chochol A., Paluszkiewicz C., Jaworska J., Kasperczyk J., Dobrzyński P. FTIR and NMR study of poly(lactide-co-glycolide) and hydroxyapatite implant degradation under in vivo conditions. Polym. Degrad. Stab. 2009;94:1479–1485. doi: 10.1016/j.polymdegradstab.2009.05.010. DOI

Fredenberg C.S., Wahlgren M., Reslow M., Axelsson A. The mechanism of drug release in poly(lactic-co-glycolic acid)-based drug delivery systems-a review. Int. J. Pharm. 2011;415:34–52. doi: 10.1016/j.ijpharm.2011.05.049. PubMed DOI

Cauda F., Cauda V., Fiori C., Onida B., Garrone E. Heparin coating on ureteral Double J stents prevents encrustations: An in vivo case study. J Endourol. 2008;22:465–472. doi: 10.1089/end.2007.0218. PubMed DOI

McManamon C., de Silva J.P., Delaney P., Morris M.A., Cross G.L.W. Characteristics, interactions and coating adherence of heterogeneous polymer/drug coatings for biomedical devices. Mater. Sci. Eng. C Mater. Biol. Appl. 2016;59:102–108. doi: 10.1016/j.msec.2015.09.103. PubMed DOI

Jaworska J., Jelonek K., Kajzer W., Szewczenko J., Kaczmarczyk B., Marcinkowski A., Janeczek H., Pastusiak M., Basiaga M., Kasperczyk J. Comparison of biodegradable poly(glycolide-epsilon-caprolactone) and poly(glycolide-epsilon-caprolactone-D,L-lactide) coatings enriched with ciprofloxacin formed on Ti6Al4V alloy. Polym. Degrad. Stab. 2018;155:136–144. doi: 10.1016/j.polymdegradstab.2018.07.013. DOI

Kazek-Kesik A., Jaworska A., Krok-Borkowicz J., Golda-Cepa M., Pastusiak M., Brzychczy-Wloch M., Pamula M., Kotarba E., Simka W. Hybrid oxide-polymer layer formed on Ti-15Mo alloy surface enhancing antibacterial and osseointegration functions. Surf. Coat. Technol. 2016;302:158–165. doi: 10.1016/j.surfcoat.2016.05.073. DOI

Jaworska J., Jelonek K., Jaworska-Kik M., Musiał-Kulik M., Marcinkowski A., Szewczenko J., Kajzer W., Pastusiak M., Kasperczyk J. Development of antibacterial, ciprofloxacin-eluting biodegradable coatings on Ti6Al7Nb implants to prevent peri-implant infections. J. Biomed. Mater. Res. A. 2020;108:1006–1015. doi: 10.1002/jbm.a.36877. PubMed DOI

Szewczenko J., Kajzer W., Kajzer A., Basiaga M., Kaczmarek M., Antonowicz M., Nowińska K., Jaworska J., Jelonek K., Kasperczyk J. Biodegradable polymer coating on Ti6Al7Nb alloy. Acta Bioeng. Bomech. 2019;21:83–92. doi: 10.37190/ABB-01461-2019-01. PubMed DOI

Golda-Cepa M., Chorylek A., Chytrosz P., Brzychczy–Wloch M., Jaworska J., Kasperczyk J., Hakkarainen M., Engvall K., Kotarba A. Multifunctional PLGA/Parylene C Coating for Implant Materials-an Integral Approach for Biointerface Optimization. ACS Appl. Mater. Interfaces. 2016;8:22093–22105. doi: 10.1021/acsami.6b08025. PubMed DOI

Dobrzyński P., Bero M., Kasperczyk J. Sposob wytwarzania bioresorbowalnych polimerow. Standard. 2000;191846:B1.

Burns J.R., Finlayson B. Proposal for a standard reference artificial urine in in vitro urolithiasis experiments. Investig. Urol. 1980;18:167–169. PubMed

Standard Specification for Ureteral Stents. ASTM International; West Conshohocken, PA, USA: 1997. ASTM F1828-97.

Tworzywa Sztuczne-Oznaczanie Właściwości Mechanicznych przy Statycznym Rozciąganiu. Politechnika Wroclawska; Wrocław, Poland: 2012. PN-EN ISO 527:2012.

Evaluation of Measurement Data-Guide to the Expression of Uncertainty in Measurement. Bureau International des Poids et Mesures; Sèvres, France: 2008. JCGM 100:2008.

Characteristics Card. University of Cambridge; Cambridge, UK: [(accessed on 14 July 2021)]. PAN-ICSD:98-003-3730. Available online: https://www.crystallography.net/cod/archives/2021/PANalytical/

Chua M.E., Morales M.L. Spontaneous Fracture of Indwelling Polyurethane Ureteral Stents: A Case Series and Review of Literature. Can. Urol. Assoc. J. 2012;6:386–392. doi: 10.5489/cuaj.12013. PubMed DOI PMC

Kim H.H., Choi Y.H., Lee S.B., Baba Y., Kim K.W., Suh S.H. Numerical Analysis of Urine Flow Through the Side Holes of a Double J Stent in A Ureteral Stenosis. Technol. Health Care. 2017;25:63–72. doi: 10.3233/THC-171307. PubMed DOI

Gorman S.P., Jones D.S., Bonner M.C., Akay M., Keane F.P. Mechanical Performance of Polyurethane Ureteral Stents in vitro And ex vivo. Biomaterials. 1997;18:1379–1383. doi: 10.1016/S0142-9612(97)00070-7. PubMed DOI

Beiko D.T., Knudsen B.E., Denstedt J.D. Advances in Ureteral Stent Design. J. Endourol. 2003;17:195–199. doi: 10.1089/089277903765444294. PubMed DOI

Hendlin K., Dockendor F., Horn C., Pshon N., Lund B., Monga M. Ureteral Stent: Coil Strength and Durometer. Urology. 2006;68:42–45. doi: 10.1016/j.urology.2006.01.062. PubMed DOI

Kilciler M., Erdemir F., Bedir S., Coban H., Erten K., Guven O., Topac H. Spontaneous Ureteral Stent Fragmentation: A Case Report and Review of the Literature. Kaohsiung J. Med. Sci. 2006;22:363–366. doi: 10.1016/S1607-551X(09)70324-9. PubMed DOI

Cauda V., Chiodoni A., Laurenti M., Canavese G., Tommasi T. Ureteral Double-J Stents Performances Toward Encrustation after Long-Term Indwelling in a Dynamic In Vitro Model. J. Biomed. Mater. Res. B Appl. Biomater. 2017;105:2244–2253. doi: 10.1002/jbm.b.33756. PubMed DOI

Linder B.J., Occhino J.A. Cystoscopic Ureteral Stent Placement: Techniques and Tips. Int. Urogynecol. J. 2019;30:163–165. doi: 10.1007/s00192-018-3762-8. PubMed DOI

Torricelli F.C., De S., Sarkissian C., Monga M. Hydrophilic Guidewires: Evaluation and Comparison of Their Properties and Safety. Urology. 2013;82:1182–1186. doi: 10.1016/j.urology.2013.07.024. PubMed DOI

Najít záznam

Citační ukazatele

Nahrávání dat ...

Možnosti archivace

Nahrávání dat ...