Devices, systems, and methods are provided including a structure having one or more surfaces configured for internal use within a patient's body and one or more therapeutic compositions comprising one or more active substances including at least one of a chelating agent, a direct
factor Xa inhibitor, a direct factor IIa inhibitor, and a
factor XI / XIa inhibitor disposed in or on the structure. The structure is configured to be positioned adjacent a
target site in the patient's body. The therapeutic composition is formulated to release the one or more active substances to the
target site to provide one or more of inhibit
clot formation, promote clot
dissolution, inhibit or dissolute
inflammation, inhibit vessel injury, increase time before clotting, and / or inhibit
cell proliferation. Delayed or other
controlled release of the therapeutic composition from the structure may be provided.