Construction of a gradient cobblestone pattern on pyrolytic carbon surface for improved anti-thrombus

Surface modification is believed to be one of the most effective solutions to prevent thrombus formation associated with mechanical heart valves. Herein, we report, for the first time, the fabrication of a gradient cobblestone pattern on the pyrolytic carbon (PyC) surface aiming to improve its anti-thrombotic properties. A unique cobblestone pattern with gradient changing interspacing was generated on the PyC surface through laser etching. After coating with fluorosilane, the surface exhibited a water contact angle gradient ranging from 110 to 173°. The morphological and physicochemical properties, mechanical durability, drag reduction, in vitro anti-thrombotic properties, and in vivo biocompatibility of the surface were investigated to evaluate its potential as a heart valve replacement. It was found that the hydrophobic gradient wettability surface exhibited an excellent self-driving effect and mechanical durability, significantly reduced hemolysis rate and platelet adhesion, and prolonged coagulation time compared to the counterpart without gradient wettability. Furthermore, the gradient wettability surface demonstrated excellent in vivo biocompatibility. These findings are important for the design of artificial heart valves with improved anti-thrombotic performance.