Successful use of a military haemostatic agent in patients undergoing extracorporeal circulatory assistance and delayed sternal closure

Interact Cardiovasc Thorac Surg. 2012 Jun;14(6):695-8. doi: 10.1093/icvts/ivs029. Epub 2012 Feb 24.

Abstract

We report the successful control of bleeding in two patients who underwent post-cardiotomy extracorporeal circulatory support (ECMO) and then developed life-threatening bleeding due to severe coagulopathy. After the failure of conventional techniques, bleeding control was achieved using Celox Gauze (MedTrade Products Ltd, Cheshire, UK) packed on the sternal edges and pericardial cavity.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Anticoagulants / adverse effects
  • Biopolymers / therapeutic use*
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Disseminated Intravascular Coagulation / etiology
  • Disseminated Intravascular Coagulation / therapy
  • Extracorporeal Membrane Oxygenation*
  • Heart Valve Prosthesis Implantation* / adverse effects
  • Hemostatic Techniques*
  • Hemostatics / therapeutic use*
  • Humans
  • Male
  • Middle Aged
  • Negative-Pressure Wound Therapy*
  • Postoperative Hemorrhage / etiology
  • Postoperative Hemorrhage / prevention & control*
  • Sternotomy* / adverse effects
  • Treatment Outcome

Substances

  • Anticoagulants
  • Biopolymers
  • Celox
  • Hemostatics