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Ann Thorac Surg 2008;86:2002-2004. doi:10.1016/j.athoracsur.2008.08.073
© 2008 The Society of Thoracic Surgeons
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How To Do It

The TachoSil-Pledget Stitch: Towards Eradication of Suture Hole Bleeding

Takeshi Shimamoto, MDa,*, Akira Marui, MD, PhDa, Takeshi Nishina, MD, PhDa, Yoshiaki Saji, MDa, Masashi Komeda, MD, PhDa,b,c

a Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan
b Department of Cardiovascular Surgery, Toyohashi Heart Center, Toyohashi, Japan
c Department of Cardiovascular Surgery, Yamato Seiwa Hospital, Yamato, Japan

Accepted for publication August 4, 2008.

* Address correspondence to Dr Shimamoto, Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin Kawahara, Sakyo, Kyoto, 606–8507, Japan (Email: shimamo{at}kuhp.kyoto-u.ac.jp).

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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 Eur J Cardiothorac SurgHome page
F. Maisano, H. K. Kjaergard, R. Bauernschmitt, A. Pavie, G. Rabago, M. Laskar, J. P. Marstein, and V. Falk
TachoSil surgical patch versus conventional haemostatic fleece material for control of bleeding in cardiovascular surgery: a randomised controlled trial
Eur J Cardiothorac Surg, October 1, 2009; 36(4): 708 - 714.
[Abstract] [Full Text] [PDF]


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