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Published in: Advances in Therapy 10/2020

Open Access 01-10-2020 | Review

Advances in Topical Hemostatic Agent Therapies: A Comprehensive Update

Authors: Liang Huang, Geoffrey L. Liu, Alan D. Kaye, Henry Liu

Published in: Advances in Therapy | Issue 10/2020

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Abstract

Severe hemorrhage causes significant metabolic and cellular dysfunction secondary to deficient tissue perfusion and oxygen delivery. If bleeding continues, hemodynamic destabilization, hypoxemia, multiple organ failure, and death will occur. Techniques employed to promote hemostasis include surgical suture ligatures, cautery, chemical agents, self-assembling nanoparticles, and physical methods, like mechanical pressure. Improved understanding of the natural clotting cascade has allowed newly designed agents to become more targeted for clinical and military use. Topically-applied hemostatic agents have enormous clinical applications in achieving hemostasis. This manuscript describes currently available and developing topical hemostatic materials, including topical active agents, mechanical agents, synthetic/hemisynthetic hemostatic agents, and external hemostatic dressings for clinical practice.
Literature
1.
go back to reference Lowe J, Luber J, Levitsky S, Hantak E, Montgomery J, Schiestl N, et al. Evaluation of the topical hemostatic efficacy and safety of TISSEEL VH S/D fibrin sealant compared with currently licensed TISSEEL VH in patients undergoing cardiac surgery: a phase 3, randomized, double-blind clinical study. J Cardiovasc Surg (Torino). 2007;48(3):323–31. Lowe J, Luber J, Levitsky S, Hantak E, Montgomery J, Schiestl N, et al. Evaluation of the topical hemostatic efficacy and safety of TISSEEL VH S/D fibrin sealant compared with currently licensed TISSEEL VH in patients undergoing cardiac surgery: a phase 3, randomized, double-blind clinical study. J Cardiovasc Surg (Torino). 2007;48(3):323–31.
6.
16.
22.
go back to reference Spotnitz WD. Hemostats, sealants, and adhesives: a practical guide for the surgeon. Am Surg. 2012;78(12):1305–21.CrossRef Spotnitz WD. Hemostats, sealants, and adhesives: a practical guide for the surgeon. Am Surg. 2012;78(12):1305–21.CrossRef
28.
go back to reference Brodbelt AR, Miles JB, Foy PM, Broome JC. Intraspinal oxidised cellulose (Surgicel) causing delayed paraplegia after thoracotomy—a report of three cases. Ann R Coll Surg Engl. 2002;84(2):97–9.PubMedPubMedCentral Brodbelt AR, Miles JB, Foy PM, Broome JC. Intraspinal oxidised cellulose (Surgicel) causing delayed paraplegia after thoracotomy—a report of three cases. Ann R Coll Surg Engl. 2002;84(2):97–9.PubMedPubMedCentral
30.
go back to reference Menovsky T, Plazier M, Rasschaert R, Maas AI, Parizel PM, Verbeke S. Massive swelling of Surgicel® Fibrillar™ hemostat after spinal surgery. Case report and a review of the literature. Minim Invasive Neurosurg. 2011;54(5–6):257–9. https://doi.org/10.1055/s-0031-1284394. Menovsky T, Plazier M, Rasschaert R, Maas AI, Parizel PM, Verbeke S. Massive swelling of Surgicel® Fibrillar™ hemostat after spinal surgery. Case report and a review of the literature. Minim Invasive Neurosurg. 2011;54(5–6):257–9. https://​doi.​org/​10.​1055/​s-0031-1284394.
32.
go back to reference Abbott WM, Austen WG. The effectiveness and mechanism of collagen induced topical hemostasis. J Cardiovasc Surg (Torino). 1976;17(1):95–6. Abbott WM, Austen WG. The effectiveness and mechanism of collagen induced topical hemostasis. J Cardiovasc Surg (Torino). 1976;17(1):95–6.
33.
go back to reference Yamagami T, Kanda K, Kato T, Hirota T, Nishida K, Yoshimatsu R, et al. Embolisation of proximal anastomotic pseudoaneurysm developing after surgical repair of abdominal aortic aneurysm with a bifurcated graft with n-butyl cyanoacrylate. Br J Radiol. 2006;79(948):e193–e195195. https://doi.org/10.1259/bjr/97367208.CrossRefPubMed Yamagami T, Kanda K, Kato T, Hirota T, Nishida K, Yoshimatsu R, et al. Embolisation of proximal anastomotic pseudoaneurysm developing after surgical repair of abdominal aortic aneurysm with a bifurcated graft with n-butyl cyanoacrylate. Br J Radiol. 2006;79(948):e193–e195195. https://​doi.​org/​10.​1259/​bjr/​97367208.CrossRefPubMed
37.
go back to reference Bhamidipati CM, Coselli JS, LeMaire SA. BioGlue in 2011: what is its role in cardiac surgery? J Extra Corpor Technol. 2012;44(1):P6–12.PubMedPubMedCentral Bhamidipati CM, Coselli JS, LeMaire SA. BioGlue in 2011: what is its role in cardiac surgery? J Extra Corpor Technol. 2012;44(1):P6–12.PubMedPubMedCentral
44.
go back to reference Mortazavi SM, Atefi A, Roshan-Shomal P, Raadpey N, Mortazavi G. Development of a novel mineral based haemostatic agent consisting of a combination of bentonite and zeolite minerals. J Ayub Med Coll Abbottabad. 2009;21(1):3–7.PubMed Mortazavi SM, Atefi A, Roshan-Shomal P, Raadpey N, Mortazavi G. Development of a novel mineral based haemostatic agent consisting of a combination of bentonite and zeolite minerals. J Ayub Med Coll Abbottabad. 2009;21(1):3–7.PubMed
Metadata
Title
Advances in Topical Hemostatic Agent Therapies: A Comprehensive Update
Authors
Liang Huang
Geoffrey L. Liu
Alan D. Kaye
Henry Liu
Publication date
01-10-2020
Publisher
Springer Healthcare
Published in
Advances in Therapy / Issue 10/2020
Print ISSN: 0741-238X
Electronic ISSN: 1865-8652
DOI
https://doi.org/10.1007/s12325-020-01467-y

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