Abstract
In a prospective, randomized study we evaluated the potential of fibrin glue to reduce petechial bleeding after unilateral internal mammary artery (IMA) harvesting in coronary artery bypass grafting. Fifty patients received 5 cm3 of fibrin glue sprayed into the IMA bed; fifty other patients served as control. In both groups one rethoracotomy was necessary because of bleeding without any specific source of hemorrhage to be found. Although the amount of drainage from the chest drains was higher in the control group, the difference did not reach statistical significance. The number of red blood cells transfused during the postoperative period was also slightly higher in the control group (n.s.) There seems to be a tendency towards a reduction of bleeding with the local application of fibrin glue, which, however, has to be evaluated in larger series. From the present study we can advocate the use of fibrin glue only in patients with increased risk of perioperative bleeding.
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Wandschneider, W., Thalmann, M., Deutsch, M. (1995). Fibrin Glue in Internal Mammary Artery Harvesting. In: Schlag, G., Wolner, E., Eckersberger, F. (eds) Fibrin Sealing in Surgical and Nonsurgical Fields. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79227-4_9
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DOI: https://doi.org/10.1007/978-3-642-79227-4_9
Publisher Name: Springer, Berlin, Heidelberg
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