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Ann Thorac Surg 1989;47:59-61
© 1989 The Society of Thoracic Surgeons

Articles

A technique for spot application of fibrin glue during open heart operations

Raul Garcia-Rinaldi, MD, PhD*, Pat Simmons, RN, Victor Salcedo, MD, Carol Howland, BA

West Houston Medical Center and The Houston Heart Institute, Houston, Texas U.S.A.

Accepted for publication September 14, 1988.

* Address reprint requests to Dr Garcia-Rinaldi, Cardiovascular Surgery of Texas, 12121 Richmond Ave, Suite 201, Houston, TX 77082.

Several techniques have been described for preparing and applying fibrin glue to control surgical bleeding. However, these methods tend to be cumbersome, expensive, or messy. Furthermore, commercial kits have not been approved by the Food and Drug Administration because of the potential risk of hepatitis contamination. Therefore, we have devised a modified, simpler technique that enables the precise, pinpoint application of fibrin glue. The risk of hepatitis transmission is substantially reduced by using cryoprecipitate plasma instead of fibrinogen from pooled donors. This technique is especially well suited for anastomoses of small vessels or for sealing suture holes in nonporous grafts.






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Copyright © 1989 by The Society of Thoracic Surgeons.