Titanium oxide- and oxynitride-coated nitinol: Effects of surface structure and composition on interactions with endothelial cells

Titanium oxynitride (TiOxNy) coatings increase the bio- and hemocompatibility of stainless steel and Co-Cr vascular stents, possibly by directly releasing NO. Herein, to examine the applicability of this approach to nitinol (NiTi) devices, we coated NiTi samples with TiOx or TiOxNy by reactive magnetron sputtering using different reaction gas compositions and bias voltages. One side of the samples was preliminarily abraded, while the other remained in its original state. Samples morphology, composition and structure were studied by atomic force microscopy (AFM), X-ray diffraction (XRD) and field emission scanning electron microscopy (FE SEM). We investigated how various types of TiOx and TiOxNy coatings interact with EA.hy926 endothelial cells. None of the tested samples exhibited cytotoxicity, and an N2:O2 ratio of 3:1 regardless of the bias voltage was found to be optimal for NO production and cell adhesion, spreading, and viability, which was ascribed to a cumulative positive effect of the composition and nanoroughness of TiOxNy coatings formed under these conditions. Thus, the deposition of TiOxNy coatings was concluded to be a promising strategy of increasing the biocompatibility of NiTi stents.