4.3 Review

Application and outlook of topical hemostatic materials: a narrative review

期刊

ANNALS OF TRANSLATIONAL MEDICINE
卷 9, 期 7, 页码 -

出版社

AME PUBL CO
DOI: 10.21037/atm-20-7160

关键词

Topical hemostatic materials; hemostatic mechanism; hemostatic products; outlook

资金

  1. Science and Technology Commission of the Central Military Commission [1916315ZD00900103]

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Bleeding complications can lead to morbidities and mortalities, necessitating the development of fast, efficient, safe, and ready-to-use hemostatic materials. Understanding the coagulation process and mechanisms of different materials is essential to develop novel hemostatic agents. This review discusses the structural features of topical hemostatic materials, commercially available products, ongoing clinical trials, and recent studies on the development of different hemostatic materials.
Bleeding complications can cause significant morbidities and mortalities in both civilian and military conditions. The formation of stable blood clots or hemostasis is essential to prevent major blood loss and death from excessive bleeding. However, the body's self-coagulation process cannot accomplish timely hemostasis without the assistance of hemostatic agents under some conditions. In the past two decades, topical hemostatic materials and devices containing platelets, fibrin, and polysaccharides have been gradually developed and introduced to induce faster or more stable blood clot formation, updating or iterating traditional hemostatic materials. Despite the various forms and functions of topical hemostatic materials that have been developed for different clinical conditions, uncontrolled hemorrhage still causes over 30% of trauma deaths across the world. Therefore, it is important to fabricate fast, efficient, safe, and ready-to-use novel hemostatic materials. It is necessary to understand the coagulation process and the hemostatic mechanism of different materials to develop novel topical hemostatic agents, such as tissue adhesives and sealants from various natural and synthetic materials. This review discusses the structural features of topical hemostatic materials related to the stimulation of hemostasis, summarizes the commercially available products and their applications, and reviews the ongoing clinical trials and recent studies concerning the development of different hemostatic materials.

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