Microporous polysaccharide hemosphere absorbable hemostat use in cardiothoracic surgical procedures

Brian A. Bruckner, Lance N. Blau, Limael Rodriguez, Erik E. Suarez, Uy Q. Ngo, Michael J. Reardon, Matthias Loebe

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Background: Topical hemostatic agents are used to reduce bleeding and transfusion need during cardiothoracic surgery. We report our experience with Arista® AH Absorbable Hemostatic Particles (Arista® AH), a novel plant-based microporous polysaccharide hemostatic powder. Methods: Data were retrospectively collected for patients (n=240) that received cardiothoracic surgery at our institution from January 2009 to January 2013 with (n=103) or without (n=137) the use of Arista® AH. Endpoints included protamine to skin closure time (hemostasis time), cardiopulmonary bypass time, quantity of Arista® AH applied, intraoperative blood product usage, intraoperative blood loss, chest tube output 48 hours postoperatively, blood products required 48hours postoperatively, length of stay in the intensive care unit, 30-day morbidity, and 30-day mortality. Results: 240 patients (176M: 64F) underwent 240 cardiothoracic procedures including heart transplantation (n=53), cardiac assist devices (n=113), coronary artery bypass grafts (n=20), valve procedures (n=19), lung transplantation (n=17), aortic dissection (n=8), and other (n=10). Application of Arista® AH led to significant reduction in hemostasis time versus the untreated control group (Arista® AH: 93.4±41min. vs. Control: 107.6±56min., p=0.02). Postoperative chest tube output in the first 48hours was also significantly reduced (Arista® AH: 1594±949mL vs. Control: 2112± 1437mL, p® AH: 2.4± 2.5 units vs. Control: 4.0±5.1 units, p® AH in complex cardiothoracic surgery resulted in a significant reduction in hemostasis time, postoperative chest tube output, and need for postoperative blood transfusion.

Original languageEnglish (US)
Article number134
JournalJournal of Cardiothoracic Surgery
Volume9
Issue number1
DOIs
StatePublished - Aug 2 2014
Externally publishedYes

Keywords

  • Biomaterials
  • Bleeding control
  • Coagulants

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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