New Device for Hemostasis in Surgical Treatment of Acute Aortic Dissection

  • Kikuchi Keita
    Department of Cardiovascular Surgery, Juntendo University School of Medicine
  • Yamamoto Taira
    Department of Cardiovascular Surgery, Juntendo University School of Medicine
  • Tambara Keiichi
    Department of Cardiovascular Surgery, Juntendo University School of Medicine
  • Imai Kensuke
    Department of Cardiovascular and Chest Surgery, Shimane University School of Medicine
  • Kanetsuki Kazuma
    Department of Cardiovascular and Chest Surgery, Shimane University School of Medicine
  • Yamaoka Hironobu
    Department of Cardiovascular Surgery, Juntendo University School of Medicine
  • Iwamura Tai
    Department of Cardiovascular Surgery, Juntendo University School of Medicine
  • Saito Yousuke
    Department of Cardiovascular Surgery, Juntendo University School of Medicine
  • Sagawa Naohiko
    Department of Cardiovascular Surgery, Juntendo University School of Medicine
  • Yamasaki Motoshige
    Department of Cardiovascular Surgery, Juntendo University School of Medicine

Bibliographic Information

Other Title
  • 急性大動脈解離緊急手術における止血の工夫 ─新しいGRF用クリップとフェルト補強─

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Abstract

We developed the new clip for gelatin-resorcin-formalin (GRF) glue (Ki-clip) and reinforcement of the suture line using a felt strip in the surgical treatment of acute aortic dissection. Between February, 2005 and January, 2006, 6 patients underwent surgical treatment for Stanford A type acute aortic dissection. Their mean age was 75.2 ± 6.0 year. Two patients underwent ascending aorta replacement, and 4 patients underwent total arch replacement. The shape of the Ki-clip resembles two overlapping combs at the tip. This characteristic makes it possible to stitch felt strips for reinforcement of the aorta through the combs, while clamping the adventitia and intima. In addition, after suturing the vascular graft, we tightened the outside felt to decompress the false lumen. The average operation time was 323.0 ± 43.0 min, the average operative bleeding was 750.0 ± 596.5 cc, and the average blood transfusion during operation was 7.8 ± 5.9 units (MAP), 7.0 ± 3.9 units (FFP), 8.3 ± 4.1 units (PC). There was no re-do surgery for hemostasis. The new clip for GRF glue and tightening the outside felt to decompress the false lumen was easy to use and was effective for hemostasis in the surgical treatment of acute aortic dissection.

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Details 詳細情報について

  • CRID
    1390001204415591296
  • NII Article ID
    10023972605
  • NII Book ID
    AN10399956
  • DOI
    10.11401/jsvs.17.695
  • ISSN
    1881767X
    09186778
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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