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A randomized, controlled trial of Veriset™ hemostatic patch in halting cardiovascular bleeding

BACKGROUND: Obtaining hemostasis during cardiovascular procedures can be a challenge, particularly around areas with a complex geometry or that are difficult to access. While several topical hemostats are currently on the market, most have caveats that limit their use in certain clinical scenarios s...

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Autores principales: Glineur, David, Hendrikx, Marc, Krievins, Dainis, Stradins, Peteris, Voss, Bernhard, Waldow, Thomas, Haenen, Luc, Oberhoffer, Martin, Ritchie, Caroline M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846302/
https://www.ncbi.nlm.nih.gov/pubmed/29563844
http://dx.doi.org/10.2147/MDER.S145651
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author Glineur, David
Hendrikx, Marc
Krievins, Dainis
Stradins, Peteris
Voss, Bernhard
Waldow, Thomas
Haenen, Luc
Oberhoffer, Martin
Ritchie, Caroline M
author_facet Glineur, David
Hendrikx, Marc
Krievins, Dainis
Stradins, Peteris
Voss, Bernhard
Waldow, Thomas
Haenen, Luc
Oberhoffer, Martin
Ritchie, Caroline M
author_sort Glineur, David
collection PubMed
description BACKGROUND: Obtaining hemostasis during cardiovascular procedures can be a challenge, particularly around areas with a complex geometry or that are difficult to access. While several topical hemostats are currently on the market, most have caveats that limit their use in certain clinical scenarios such as pulsatile arterial bleeding. The aim of this study was to assess the effectiveness and safety of Veriset™ hemostatic patch in treating cardiovascular bleeding. METHODS: Patients (N=90) scheduled for cardiac or vascular surgery at 12 European institutions were randomized 1:1 to treatment with either Veriset™ hemostatic patch (investigational device) or TachoSil(®) (control). After application of the hemostat, according to manufacturer instructions for use, time to hemostasis was monitored. Follow-up occurred up to 90 days post-surgery. RESULTS: Median time to hemostasis was 1.5 min with Veriset™ hemostatic patch, compared to 3.0 min with TachoSil(®) (p<0.0001). Serious adverse events within 30 days post-surgery were experienced by 12/44 (27.3%) patients treated with Veriset™ hemostatic patch and 10/45 (22.2%) in the TachoSil(®) group (p=0.6295). None of these adverse events were device-related, and no reoperations for bleeding were required within 5 days post-surgery in either treatment group. CONCLUSION: This study reinforces the difference in minimum recommended application time between Veriset™ hemostatic patch and TachoSil(®) (30 s versus 3 min respectively). When compared directly at 3 min, Veriset™ displayed no significant difference, showing similar hemostasis and safety profiles on the cardiovascular bleeding sites included in this study.
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spelling pubmed-58463022018-03-21 A randomized, controlled trial of Veriset™ hemostatic patch in halting cardiovascular bleeding Glineur, David Hendrikx, Marc Krievins, Dainis Stradins, Peteris Voss, Bernhard Waldow, Thomas Haenen, Luc Oberhoffer, Martin Ritchie, Caroline M Med Devices (Auckl) Original Research BACKGROUND: Obtaining hemostasis during cardiovascular procedures can be a challenge, particularly around areas with a complex geometry or that are difficult to access. While several topical hemostats are currently on the market, most have caveats that limit their use in certain clinical scenarios such as pulsatile arterial bleeding. The aim of this study was to assess the effectiveness and safety of Veriset™ hemostatic patch in treating cardiovascular bleeding. METHODS: Patients (N=90) scheduled for cardiac or vascular surgery at 12 European institutions were randomized 1:1 to treatment with either Veriset™ hemostatic patch (investigational device) or TachoSil(®) (control). After application of the hemostat, according to manufacturer instructions for use, time to hemostasis was monitored. Follow-up occurred up to 90 days post-surgery. RESULTS: Median time to hemostasis was 1.5 min with Veriset™ hemostatic patch, compared to 3.0 min with TachoSil(®) (p<0.0001). Serious adverse events within 30 days post-surgery were experienced by 12/44 (27.3%) patients treated with Veriset™ hemostatic patch and 10/45 (22.2%) in the TachoSil(®) group (p=0.6295). None of these adverse events were device-related, and no reoperations for bleeding were required within 5 days post-surgery in either treatment group. CONCLUSION: This study reinforces the difference in minimum recommended application time between Veriset™ hemostatic patch and TachoSil(®) (30 s versus 3 min respectively). When compared directly at 3 min, Veriset™ displayed no significant difference, showing similar hemostasis and safety profiles on the cardiovascular bleeding sites included in this study. Dove Medical Press 2018-03-08 /pmc/articles/PMC5846302/ /pubmed/29563844 http://dx.doi.org/10.2147/MDER.S145651 Text en © 2018 Glineur et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Glineur, David
Hendrikx, Marc
Krievins, Dainis
Stradins, Peteris
Voss, Bernhard
Waldow, Thomas
Haenen, Luc
Oberhoffer, Martin
Ritchie, Caroline M
A randomized, controlled trial of Veriset™ hemostatic patch in halting cardiovascular bleeding
title A randomized, controlled trial of Veriset™ hemostatic patch in halting cardiovascular bleeding
title_full A randomized, controlled trial of Veriset™ hemostatic patch in halting cardiovascular bleeding
title_fullStr A randomized, controlled trial of Veriset™ hemostatic patch in halting cardiovascular bleeding
title_full_unstemmed A randomized, controlled trial of Veriset™ hemostatic patch in halting cardiovascular bleeding
title_short A randomized, controlled trial of Veriset™ hemostatic patch in halting cardiovascular bleeding
title_sort randomized, controlled trial of veriset™ hemostatic patch in halting cardiovascular bleeding
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846302/
https://www.ncbi.nlm.nih.gov/pubmed/29563844
http://dx.doi.org/10.2147/MDER.S145651
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