Use of gelatin hemostatic matrices in patients with intraparenchymal hemorrhage and drug-induced coagulopathy.

Abstract:

:In the routine practice of neurosurgery, the attainment of appropriate hemostasis during and after surgery is of the utmost importance. In the last few years, we have noticed that in several cases the standard coagulation methods (bipolar, Tabotamp, Spongostan) were not sufficient; in particular, patients with intraparenchymal hemorrhage under anticoagulant or antiplatelet therapy were observed to be the most difficult hemostasis cases, and thus those most frequently subjected to gelatin hemostatic matrices. We report our trial on 57 patients under anticoagulant or antiplatelet therapy and with intraparenchymal hemorrhage in which gelatin hemostatic matrices were used. The excellent results both in terms of outcome and decreased bleeding allow for regarding such a practice as safe and reproducible in these cases.

journal_name

J Neurosurg Sci

authors

Del Verme J,Conti C,Guida F

doi

10.23736/S0390-5616.16.03362-2

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

737-742

issue

6

eissn

0390-5616

issn

1827-1855

pii

R38Y9999N00A150072

journal_volume

63

pub_type

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