The TachoSil-Pledget stitch: towards eradication of suture hole bleeding.

Shimamoto, Takeshi; Marui, Akira; Nishina, Takeshi; Saji, Yoshiaki; Komeda, Masashi · Ann Thorac Surg · 2008

case_series · Level IV

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Abstract

We describe a novel suture consisting of a small piece of TachoSil (Nycomed, Copenhagen, Denmark) and a felt pledget-the TachoSil-pledget stitch-which was used to facilitate mechanical and biologic hemostasis in 5 patients undergoing aortic arch aneurysm repair. The TachoSil-pledget stitch achieved good or very good hemostasis at all 56 bleeding points to which it was applied, while 5 of 12 points to which a conventional felt-pledget stitch was applied required additional stitching or an additional hemostatic method.

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