Cardiac surgery
Fibrin sealants have been used in cardiac surgery for decades and for several indications. Generally it is used in complicated procedures or in high-risk patients. Typical indications are:
- Redo surgery
- Surgery including many suture lines
- Patients with blood coagulation disorders
- Transplantation
Among Vivostat® fibrin sealant's main advantages for the surgeon is the ability to use the system intermittently during the entire operation and to apply sealant at a close range to target a specific area. Surgeons find Vivostat® fibrin sealant most useful for the following surgical situations:
- Sealing of suture lines in aortic aneurysms or aortic root replacement
- Sealing of coronary anastomoses when the coronaries are heavily calcified
- Sealing of the sternal marrow to prevent diffuse bleeding
(instead of bone wax)
- Diffuse oozing in redo procedures