Ninet J, Thevenet F, Cochet P, Vigneron M, Risk M, Champsaur G
Service de Chirurgie thoracique et cardiovasculaire C. Hôpital cardiologique, Lyon.
Presse Med. 1988 Nov 19;17(41):2197-9.
The techniques for sealing with the Tissucol fibrin glue, used in repair of aortic dissections and aneurysms, are described. We applied this method to 24 patients operated upon for acute (9 cases) or chronic (15 cases) lesions of the thoracic aorta. No patients died of haemorrhage, and post-operative bleeding was only 500 ml on average. Provided strict precautions are taken, this adjuvant haemostatic method considerably improves the immediate prognosis of acquired aortic lesions. Other operations of cardiac surgery may benefit from these sealing techniques the cost of which must be weighed against the blood transfusion units that are saved.
本文描述了用于修复主动脉夹层和动脉瘤的Tissucol纤维蛋白胶封堵技术。我们将该方法应用于24例因胸主动脉急性(9例)或慢性(15例)病变而接受手术的患者。无患者死于出血,术后平均出血量仅为500毫升。只要采取严格的预防措施,这种辅助止血方法可显著改善后天性主动脉病变的近期预后。心脏外科的其他手术可能会受益于这些封堵技术,其成本必须与节省的输血单位进行权衡。