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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 2/2017

01-02-2017 | Clinical Investigation

Direct Injection of Blood Products Versus Gelatin Sponge as a Technique for Local Hemostasis

Authors: John Haaga, Shiraz Rahim

Published in: CardioVascular and Interventional Radiology | Issue 2/2017

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Abstract

Purpose

To provide a method of reducing risk of minimally invasive procedures on patients with abnormal hemostasis and evaluate efficacy of direct fresh frozen plasma injection through a procedure needle tract compared to Gelfoam (gelatin sponge) administration.

Materials and Methods

Eighty patients with elevated international standardized ratio (INR) undergoing minimally invasive procedures using imaging guidance were selected retrospectively. Forty patients had received Gelfoam as a means of tract embolization during the procedure. The other 40 received local fresh frozen plasma (FFP) through the needle tract. The number of complications and clinically significant bleeding events were recorded. A threshold of 30 cc of blood loss after a procedure was used to identify excess bleeding.

Results

No patients experienced clinically significant bleeding after administration of FFP. Five patients experienced postoperative drops in hemoglobin or hematomas after administration of Gelfoam.

Conclusion

Local injection of blood products can reduce postprocedure bleeding in patients undergoing minimally invasive procedures and provides a safe alternative to the use of synthetic fibrin plugs.
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Metadata
Title
Direct Injection of Blood Products Versus Gelatin Sponge as a Technique for Local Hemostasis
Authors
John Haaga
Shiraz Rahim
Publication date
01-02-2017
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 2/2017
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-016-1494-z

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