Hemopatch Application for Ventricular Wall Laceration in Redo Cardiac Surgical Procedures

Sandrio, Stany; Purbojo, Ariawan; Cesnjevar, Robert; Rüffer, André

doi:10.1016/j.athoracsur.2015.04.082

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…The patch needs no prior preparation and is stored at room temperature [1], allowing rapid availability during surgery. The current case report confirms the patch's utility during surgery, standing alongside critical appraisals of [10,12,13], a shorter mean surgery time [11], and no postoperative complications due to bleeding [15]. Overall, the performance of the collagenbased hemostatic patch for closure of dural defects in cranial surgery was highly satisfactory.…”

Section: Discussionsupporting

confidence: 75%

“…A polyethylene glycol-coated, collagen-based, sealing hemostatic patch (Hemopatch Ò , Baxter Healthcare Ltd.) has been designed to stop bleeding during surgical procedures and to simultaneously induce hemostasis [1,2]. This collagen-based hemostatic patch was safe and performed well against other sealing hemostats when tested in vivo using various surgical models [3][4][5][6][7][8][9], and in a range of surgeries in patients [10][11][12][13][14][15][16][17]. This case report is the first to describe the use of the collagen-based hemostatic patch for repair of vascular injury in a neurosurgical case involving the removal of meningioma in the foramen magnum.…”

Section: Introductionmentioning

confidence: 99%

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Case Report of a Novel Technique for Repair of the Vertebral Artery During Cranial Surgery

Prasad¹,

Mukerji²

2019

Neurol Ther

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Surgery of complex cranial base lesions carries a high risk of damage to main vessels, often resulting in life-changing or even life-threatening injuries. We describe a rapid, effective, and noninvasive application of a collagen-based hemostatic patch to repair the vertebral artery during cranial surgery. A 61-year-old male patient underwent retrosigmoid craniotomy to remove a foramen magnum meningioma that encased the vertebral artery. A linear incision was made behind the ear and standard retrosigmoid craniotomy was performed with preservation of the transverse and sigmoid sinuses. The dura was opened in a Y-shaped fashion and the cerebellum was retracted with cerebrospinal fluid being released. Removing the exposed tumor from the artery resulted in a small arterial bleed. Two pieces of an N-hydroxysuccinimide-functionalized polyethylene glycol-coated collagen patch (Hemopatch Ò , Baxter Healthcare Ltd.) were applied sequentially and were pressed to the bleed site for 2 min each. Hemostasis of the vertebral artery was achieved at the patient's regular blood pressure. There was no postoperative bleeding, dissection or pseudoaneurysm. The patient recovered gradually with several cranial nerve deficits. There was no brain stem stroke. Twelve months on, the patient has made an excellent recovery from surgery, is independently mobile and has minimal cranial nerve deficits. Application of the collagen-based hemostatic patch proved to be an efficient, safe, and noninvasive technique that achieved rapid hemostasis, confirming its effectiveness in complicated surgery, where risk of hemorrhage can be critical for the surgery outcome.

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Section: Discussionsupporting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Case Report of a Novel Technique for Repair of the Vertebral Artery During Cranial Surgery

Prasad¹,

Mukerji²

2019

Neurol Ther

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“…Before now, HEMOPATCH clinical data were limited to case series and reports [35][36][37][38][39][40]. These data along with the preclinical studies noted above have previously been summarized in two comprehensive review articles [29,36].…”

Section: Hemopatch Review Objectivementioning

confidence: 99%

Clinical effectiveness and versatility of a sealing hemostatic patch (HEMOPATCH) in multiple surgical specialties

Lewis

Ikeme

Olubunmi³

et al. 2018

Expert Review of Medical Devices

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Intraoperative surgical sealants and hemostatic agents have been shown to reduce postoperative complications, transfusions, and hospital resource utilization. Despite availability of these agents, the incidence and burden of bleeding remains high and surgeons' requirements for hemostatic control continue to evolve. A burgeoning class of hemostatic agents are hemostatic patches, which offer package-to-patient readiness and direct application. In addition, hemostatic patches may provide tissue sealing capabilities. Areas covered: This review focuses on the clinical effectiveness, versatility, and surgical efficiency of HEMOPATCH as a surgical sealant and hemostatic agent in various surgical specialties including: cardiac, digestive (hepatic, gastrointestinal, pancreatic), urological, neurological, and endocrine. Expert commentary: Among hemostatic patches, HEMOPATCH is a valuable tool to stop bleeding without adverse events across various surgical specialties. Clinical evidence demonstrates the safety, clinical effectiveness, and versatility of HEMOPATCH as a unique surgical adjunct in patients undergoing complex and routine surgical procedures. Larger randomized-controlled clinical studies, or clinical registries, will continue to be used to evaluate its performance and versatility, particularly for sealing tissues and closing the dura. In the current field of surgical sealing and hemostasis, however, HEMOPATCH represents the next step in improving patient outcomes.

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Hemopatch Application for Ventricular Wall Laceration in Redo Cardiac Surgical Procedures

Cited by 2 publications

References 3 publications

Case Report of a Novel Technique for Repair of the Vertebral Artery During Cranial Surgery

Case Report of a Novel Technique for Repair of the Vertebral Artery During Cranial Surgery

Clinical effectiveness and versatility of a sealing hemostatic patch (HEMOPATCH) in multiple surgical specialties

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