A Kaolin-based Hemostatic Gauze as an Adjunctive Tool for Bleeding Control after Vascular Closure Devices Use in Tavi Patients

نویسندگان

  • Daniela Trabattoni
  • Franco Fabbiocchi
  • Paolo Olivares
  • Giacomo Basadonna
  • Giuseppe Calligaris
  • Antonio Bartorelli
چکیده

Results: Mean ACT value was 180±24 seconds. Femoral hemostasis was achieved with a double suture-based VCD deployment in 30 (67%) patients or a double VCD with cross-over balloon inflation in the remaining 15 (33%) patients. Bleeding after VCDs occurred in 15 (33%) pts. The kaolin-based dressing, activates the intrinsic blood coagulation pathway thus allowing for a short manual hemostasis period. The gauze was applied for 3 minutes above the puncture site obtaining complete and fast bleeding control. Conclusions: The kaolin-gauze demonstrated to be effective in minor bleeding control after large arterial sheath removal with a VCD.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A new kaolin-based hemostatic bandage use after coronary diagnostic and interventional procedures.

BACKGROUND Bleeding and vascular access site complications are an important cause of morbidity after percutaneous femoral procedures. Together with collagen-based and suture-based vascular closure devices, new hemostatic dressings have been developed to control heavy bleeding. AIM OF STUDY To evaluate safety and efficacy results of the first clinical QuikClot Interventional Hemostatic Bandage...

متن کامل

Vascular site hemostasis in percutaneous extracorporeal membrane oxygenation therapy

Bleeding is a well described complication of percutaneous extracorporeal membrane oxygenation support (ECMO). In an effort to prevent ongoing percutaneous-cannula blood loss, we tried multiple methods to achieve hemostasis and obtained the best results with QuikClot Combat Gauze (Z-Medica Corp, Wallingford, CT). This product is made of kaolin, white alumina silicate clay, which initiates activa...

متن کامل

Intra-abdominal packing with laparotomy pads and QuikClot™ during damage control laparotomy: A safety analysis.

BACKGROUND Intra-abdominal packing with laparotomy pads (LP) is a common and rapid method for hemorrhage control in critically injured patients. Combat Gauze™ and Trauma Pads™ ([QC] Z-Medica QuikClot®) are kaolin impregnated hemostatic agents, that in addition to LP, may improve hemorrhage control. While QC packing has been effective in a swine liver injury model, QC remains unstudied for human...

متن کامل

Efficacy of Chitosan-Based Dressing for Control of Bleeding in Excisional Wounds

Introduction: Excessive bleeding is a complication of wound debridement in patients receiving anticoagulation treatment. Chitosan is a linear, positively charged polysaccharide that has potential as a hemostatic topical dressing. This study examined the hemostatic efficacy of the chitosan based Opticell dressing (Medline Industries, Chicago, Ill) in heparinized rats with excisional wounds mimic...

متن کامل

Hemostatic dressings in civil prehospital practice: 30 uses of QuikClot Combat Gauze.

To report the use and describe the interest of hemostatic dressings in a civilian setting, we provided medical prehospital teams with QuikClot Combat Gauze (QCG) and asked physicians to complete a specific questionnaire after each use. Thirty uses were prospectively reported. The wounds were mostly caused by cold steel (n=15) and were primarily cervicocephalic (n=16), with 19/30 active arterial...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2015