AI Article Synopsis
- The study investigated how effective TachoComb H patches are in stopping suture-hole bleeding during vascular surgeries using PTFE grafts.
- Participants were divided into two groups: one received TachoComb H patches, while the other used standard surgical swabs for compression.
- Results indicated that those treated with TachoComb H had a significantly quicker time to stop bleeding (300 seconds) compared to the control group (660 seconds), and no serious complications arisen from using the patches.
Article Abstract
Objective: Suture-hole bleeding is a considerable problem in vascular procedures using polytetrafluoroethylene (PTFE) grafts. This study aimed to study the efficacy of TachoComb H patches in controlling suture-hole bleeding.
Design: Prospective randomised controlled trial. Materials and methods. Patients undergoing femoral anastomosis and femoral or carotid patch angioplasty with PTFE grafts were prospectively randomised to TachoComb H patches or standard compression with surgical swabs.
Results: Twenty four patients were randomised (12 patients in each treatment group). The median time to haemostasis was 300 (range 180-600)s in patients treated with TachoComb H and 660 (range 180-1200)s in the control group. The log rank test of equality over treatments based on the 22 patients with assessment of time to haemostasis showed statistical significance (p=0.0134). There were no serious complications associated with use of TachoComb H patches.
Conclusion: TachoComb H patches were found to be safe and effective for the control of suture-hole bleeding in patients undergoing vascular reconstruction with PTFE grafts.
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| http://dx.doi.org/10.1016/j.ejvs.2004.01.018 | DOI Listing |
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