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

Ann Thorac Surg. 2008 Dec;86(6):2002-4. doi: 10.1016/j.athoracsur.2008.08.073.

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.

MeSH terms

  • Aortic Aneurysm, Thoracic / surgery*
  • Blood Loss, Surgical / prevention & control
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Blood Vessel Prosthesis Implantation / methods*
  • Cohort Studies
  • Drug Combinations
  • Female
  • Fibrinogen / pharmacology*
  • Hemostasis, Surgical / instrumentation*
  • Humans
  • Male
  • Risk Assessment
  • Sensitivity and Specificity
  • Suture Techniques / instrumentation*
  • Sutures
  • Tensile Strength
  • Thrombin / pharmacology*
  • Treatment Outcome

Substances

  • Drug Combinations
  • TachoSil
  • Fibrinogen
  • Thrombin