Use of the EVARREST patch for penetrating cardiac injury
Penetrating cardiac injuries have a pre-hospital mortality of 94% with a subsequent in-hospital mortality of 50% among initial survivors (Leite et al., 2017 [1]). The Western Trauma Association (WTA) guidelines recommend resuscitative thoracotomy (RT) for patients with penetrating torso trauma and l...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-08-01
|
| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644020300480 |
| _version_ | 1828468625398300672 |
|---|---|
| author | Gustavo Romero-Velez Jody M. Kaban Edward Chao Erin R. Lewis Melvin E. Stone, Jr Sheldon Teperman Srinivas H. Reddy |
| author_facet | Gustavo Romero-Velez Jody M. Kaban Edward Chao Erin R. Lewis Melvin E. Stone, Jr Sheldon Teperman Srinivas H. Reddy |
| author_sort | Gustavo Romero-Velez |
| collection | DOAJ |
| description | Penetrating cardiac injuries have a pre-hospital mortality of 94% with a subsequent in-hospital mortality of 50% among initial survivors (Leite et al., 2017 [1]). The Western Trauma Association (WTA) guidelines recommend resuscitative thoracotomy (RT) for patients with penetrating torso trauma and less than 15 min of cardiopulmonary resuscitation (CPR) Burlew et al. (2012) [2]. Penetrating cardiac injuries are classically repaired using skin-stapling devices and/or suture repair with or without pledgets (Wall et al., 1997 [3]). In this study, we present a case of penetrating cardiac injury where all the aforementioned techniques failed, and a new approach was explored. A fibrinogen/thrombin patch was used in this clinical setting, which is an off-label use of the product, we here present our encouraging outcome. |
| first_indexed | 2024-12-11T04:25:24Z |
| format | Article |
| id | doaj.art-265e1a0744104b91af13e64ca5254ae1 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-11T04:25:24Z |
| publishDate | 2020-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-265e1a0744104b91af13e64ca5254ae12022-12-22T01:20:59ZengElsevierTrauma Case Reports2352-64402020-08-0128100324Use of the EVARREST patch for penetrating cardiac injuryGustavo Romero-Velez0Jody M. Kaban1Edward Chao2Erin R. Lewis3Melvin E. Stone, Jr4Sheldon Teperman5Srinivas H. Reddy6Montefiore Medical Center, Bronx, NY, United States of AmericaAlbert Einstein College of Medicine, Division of Thoracic Surgery, Jacobi Medical Center, Bronx, NY, United States of AmericaAlbert Einstein College of Medicine, Division of Trauma & Critical Care Services, Jacobi Medical Center, Bronx, NY, United States of AmericaDepartment of Surgery, Jacobi Medical Center, Bronx, NY, United States of AmericaAlbert Einstein College of Medicine, Division of Trauma & Critical Care Services, Jacobi Medical Center, Bronx, NY, United States of AmericaAlbert Einstein College of Medicine, Trauma & Critical Care Services, Jacobi Medical Center, Bronx, NY, United States of AmericaAlbert Einstein College of Medicine, Division of Trauma & Critical Care Services, Jacobi Medical Center, Bronx, NY, United States of America; Corresponding author at: Albert Einstein College of Medicine, Division of Trauma & Critical Care Services, Jacobi Medical Center, 1400 Pelham Parkway South, Bronx, NY 10461, United States of America.Penetrating cardiac injuries have a pre-hospital mortality of 94% with a subsequent in-hospital mortality of 50% among initial survivors (Leite et al., 2017 [1]). The Western Trauma Association (WTA) guidelines recommend resuscitative thoracotomy (RT) for patients with penetrating torso trauma and less than 15 min of cardiopulmonary resuscitation (CPR) Burlew et al. (2012) [2]. Penetrating cardiac injuries are classically repaired using skin-stapling devices and/or suture repair with or without pledgets (Wall et al., 1997 [3]). In this study, we present a case of penetrating cardiac injury where all the aforementioned techniques failed, and a new approach was explored. A fibrinogen/thrombin patch was used in this clinical setting, which is an off-label use of the product, we here present our encouraging outcome.http://www.sciencedirect.com/science/article/pii/S2352644020300480TraumaCardiac injuryFibrin patchEVARREST |
| spellingShingle | Gustavo Romero-Velez Jody M. Kaban Edward Chao Erin R. Lewis Melvin E. Stone, Jr Sheldon Teperman Srinivas H. Reddy Use of the EVARREST patch for penetrating cardiac injury Trauma Case Reports Trauma Cardiac injury Fibrin patch EVARREST |
| title | Use of the EVARREST patch for penetrating cardiac injury |
| title_full | Use of the EVARREST patch for penetrating cardiac injury |
| title_fullStr | Use of the EVARREST patch for penetrating cardiac injury |
| title_full_unstemmed | Use of the EVARREST patch for penetrating cardiac injury |
| title_short | Use of the EVARREST patch for penetrating cardiac injury |
| title_sort | use of the evarrest patch for penetrating cardiac injury |
| topic | Trauma Cardiac injury Fibrin patch EVARREST |
| url | http://www.sciencedirect.com/science/article/pii/S2352644020300480 |
| work_keys_str_mv | AT gustavoromerovelez useoftheevarrestpatchforpenetratingcardiacinjury AT jodymkaban useoftheevarrestpatchforpenetratingcardiacinjury AT edwardchao useoftheevarrestpatchforpenetratingcardiacinjury AT erinrlewis useoftheevarrestpatchforpenetratingcardiacinjury AT melvinestonejr useoftheevarrestpatchforpenetratingcardiacinjury AT sheldonteperman useoftheevarrestpatchforpenetratingcardiacinjury AT srinivashreddy useoftheevarrestpatchforpenetratingcardiacinjury |