A stable hemocompatible coating was fabricated by consecutive alternating adsorption of iron (III) and two kinds of polysaccharides, heparin (Hep) and dextran sulfate (DS), onto poly (vinyl chloride) (PVC) surfaces via electrostatic interaction. The fluctuation of contact angles with the alternative deposition of iron (III) and polysaccharides verified the progressive buildup of the mulitilayer coating onto the PVC surface. Atomic force microscopy (AFM) analysis revealed that the PVC surfaces were completely masked by iron-polysaccharides multilayer coatings. The activated partial thromboplastin time (APTT) assay showed that both Hep/Fe3+/Hep and DS/Fe3+/Hep coated PVC were less thrombogenic than the uncoated one. Chromogenic assay for heparin activity proved definitively that the inhibition of locally produced thrombin was ascribed to the thromboresistance of the surface-bound heparin. Compared with the unmodified PVC surfaces, iron-polysaccharide multilayer coating presented a drastically reduced adhesion in vitro of platelets, polymorphonuclear neutrophil leukocytes (PMN) and peripheral blood mononuclear cells (PBMC). Interestingly, the DS/Fe3+/Hep coating was found to exhibit higher hydrophilicity and stability, hence lower non-specific protein adsorption in comparison with Hep/Fe3+/Hep coating due to the incorporation of dextran sulfate into the multilayer coating. (C) 2009 Elsevier B. V. All rights reserved.