A Blood-Resistant Surgical Glue for Minimally Invasive Repair of Vessels and Heart Defects

作者:Lang Nora; Pereira Maria J; Lee Yuhan; Friehs Ingeborg; Vasilyev Nikolay V; Feins Eric N; Ablasser Klemens; O'Cearbhaill Eoin D; Xu Chenjie; Fabozzo Assunta; Padera Robert; Wasserman Steve; Freudenthal Franz; Ferreira Lino S; Langer Robert; Karp Jeffrey M*; del Nido Pedro J
来源:Science Translational Medicine, 2014, 6(218): 218ra6.
DOI:10.1126/scitranslmed.3006557

摘要

Currently, there are no clinically approved surgical glues that are nontoxic, bind strongly to tissue, and work well within wet and highly dynamic environments within the body. This is especially relevant to minimally invasive surgery that is increasingly performed to reduce postoperative complications, recovery times, and patient discomfort. We describe the engineering of a bioinspired elastic and biocompatible hydrophobic light-activated adhesive (HLAA) that achieves a strong level of adhesion to wet tissue and is not compromised by preexposure to blood. The HLAA provided an on-demand hemostatic seal, within seconds of light application, when applied to high-pressure large blood vessels and cardiac wall defects in pigs. HLAA-coated patches attached to the interventricular septum in a beating porcine heart and resisted supraphysiologic pressures by remaining attached for 24 hours, which is relevant to intracardiac interventions in humans. The HLAA could be used for many cardiovascular and surgical applications, with immediate application in repair of vascular defects and surgical hemostasis.

  • 出版日期2014-1-8
  • 单位MIT