Use of Tissue-Glue–Coated Collagen Sponge (TachoSil) to Repair Minor Cerebral Dural Venous Sinus Lacerations

Gazzeri, Roberto; Galarza, Marcelo; Fiore, Claudio; Callovini, Gemma; Alfieri, Alex

doi:10.1227/neu.0000000000000614

Cited by 20 publications

(14 citation statements)

References 16 publications

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“…We do not believe the utilization of a bioresorbable plate to maintain pressure on the hemostatic plug has been previously described, but the concept is a variation on techniques that have been described by other authors. 2,4,11,12,14 Other authors have also reported excellent hemostatic efficacy with long-term sinus patency utilizing a fibrin sealant with a structural thrombogenic material. Most authors emphasize the importance of maintaining pressure on the plug, often utilizing a dural tenting hitch stitch to pull the dura firmly to the overlying bone.…”

Section: Discussionmentioning

confidence: 99%

“…sinus with thrombogenic materials in combination with a fibrin sealant will often suffice when the tear is small and when direct pressure can be maintained on the hemostatic plug. 2,4,[11][12][13][14] For large tears, repair with adjacent dura, a separate autologous or allograft material, or even a vein graft can be performed, with or without the assistance of a temporary flow diversion stent. 8,18,22,26,30,33 Emergency endovascular solutions may offer a viable alternative in some select cases in the ideal setting, but this method has not been widely reported.…”

mentioning

confidence: 99%

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Use of a contoured bioresorbable plate with a hemostatic plug to control life-threatening bleeding from the superior sagittal sinus during hemispherotomy: technical note

Tuite

Carey

Nelson

et al. 2016

PED

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Profuse bleeding originating from an injured cerebral sinus can be a harrowing experience for any surgeon, particularly during an operation on a young child. Common surgical remedies include sinus ligation, primary repair, placement of a hemostatic plug, and patch or venous grafting that may require temporary stenting. In this paper the authors describe the use of a contoured bioresorbable plate to hold a hemostatic plug in place along a tear in the inferomedial portion of a relatively inaccessible part of the posterior segment of the superior sagittal sinus in an 11-kg infant undergoing hemispherotomy for epilepsy. This variation on previously described hemostatic techniques proved to be easy, effective, and ultimately lifesaving. Surgeons may find this technique useful in similar dire circumstances when previously described techniques are ineffective or impractical.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Use of a contoured bioresorbable plate with a hemostatic plug to control life-threatening bleeding from the superior sagittal sinus during hemispherotomy: technical note

Tuite

Carey

Nelson

et al. 2016

PED

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“…Each of the given criteria is significant as it determines the way surgery goes, convenience of surgical manipulations and sometimes their duration [89][90][91]. Organoleptic methods of investigation have an integral character and can replace long multi-factor evaluation of materials which requires expensive equipment [92][93][94].…”

Section: Identification Of Organoleptic Propertiesmentioning

confidence: 99%

In vitro Evaluation of Performance Properties of Sponge Hemostatic Dressings (Review)

Северинов¹,

Lazarenko²,

Sotnikov³

et al. 2020

Sovrem Tehnol Med

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Dressings for restoring organ defects and/or hemostasis in the injury site are being actively applied in operational units. These dressings are used in various surgeries and are widely represented in the foreign and domestic markets of medical products. Many local implants have different levels of hemostatic activity, which requires standardization of the algorithm of choice and the methods of their study. Here the methods of studying the performance properties of hemostatic implants in vitro have been considered and evaluation criteria of their physical, chemical and organoleptic properties in vitro have been proposed. This will allow a researcher to choose optimal variants of samples for further experiments on biological models more effectively as well as to save funds, time and reduce the number of experiments in vivo.

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“…While nano-hemostats have been proven to be successful in a small animal model of vessel injury, this may not hold true in larger animal/human models where pressures may be many times that of smaller animals. 6,34,36,37 This pressure may wash the hemostat away from its site of action before it can take effect. Further, the liquid may need to be either impregnated in or held on by a patty or similar.…”

Section: Possible Limitationsmentioning

confidence: 99%

Nano-hemostats and a Pilot Study of Their Use in a Large Animal Model of Major Vessel Hemorrhage in Endoscopic Skull Base Surgery

et al. 2016

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Nano-hemostats are synthetic amino acid chains that self-assemble into a scaffold under certain conditions. These have been shown to be effective in stopping bleeding in small animal models of hemorrhage. Proposed mechanisms for their effect are that they form a mesh analogous to the fibrin plug in native hemostasis and that they may potentiate both platelet activation and the coagulation cascade. These may potentially become valuable adjuncts to endoscopic skull base surgery where there is the potential for both major vessel injury and smaller perforator injury to eloquent areas where bipolar cautery may not be suitable. We present a summary of the clinical studies to date and a small pilot study of nano-hemostat in an endoscopic sheep model of major vessel hemorrhage to determine its efficacy in stopping bleeding in this potentially catastrophic complication.

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Use of Tissue-Glue–Coated Collagen Sponge (TachoSil) to Repair Minor Cerebral Dural Venous Sinus Lacerations

Abstract: We report our experience with a new hemostasis technique to manage bleeding from iatrogenic lacerations of cerebral venous sinuses.

Cited by 20 publications

References 16 publications

Use of a contoured bioresorbable plate with a hemostatic plug to control life-threatening bleeding from the superior sagittal sinus during hemispherotomy: technical note

Use of a contoured bioresorbable plate with a hemostatic plug to control life-threatening bleeding from the superior sagittal sinus during hemispherotomy: technical note

In vitro Evaluation of Performance Properties of Sponge Hemostatic Dressings (Review)

Nano-hemostats and a Pilot Study of Their Use in a Large Animal Model of Major Vessel Hemorrhage in Endoscopic Skull Base Surgery

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