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Ann Thorac Surg. 2008 Dec;86(6):2002-4. doi: 10.1016/j.athoracsur.2008.08.073.

The TachoSil-Pledget stitch: towards eradication of suture hole bleeding.

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Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.


We describe a novel suture consisting of a small piece of TachoSil (Nycomed, Copenhagen, Denmark) and a felt pledget-the TachoSil-pledget stitch-which was used to facilitate mechanical and biologic hemostasis in 5 patients undergoing aortic arch aneurysm repair. The TachoSil-pledget stitch achieved good or very good hemostasis at all 56 bleeding points to which it was applied, while 5 of 12 points to which a conventional felt-pledget stitch was applied required additional stitching or an additional hemostatic method.

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