New Device for Hemostasis in Surgical Treatment of Acute Aortic Dissection

Kikuchi Keita, Yamamoto Taira, Tambara Keiichi, Imai Kensuke, Kanetsuki Kazuma, Yamaoka Hironobu, Iwamura Tai, Saito Yousuke, Sagawa Naohiko, Yamasaki Motoshige

doi:10.11401/jsvs.17.695

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─

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.

Journal

Japanese Journal of Vascular Surgery

Japanese Journal of Vascular Surgery 17 (7), 695-699, 2008

JAPANESE SOCIETY FOR VASCULAR SURGERY

Keywords

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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