Evidence map›Paper›PMID 39169092›Full record

ArticleScientific reports2024

Cryopreserved nanostructured fibrin-agarose hydrogels are efficient and safe hemostatic agents.

Carlos Casado, Carmen Cepeda-Franco, Sheila Pereira Arenas, Maria Dolores Suarez, Miguel Ángel Gómez-Bravo, Miguel Alaminos, Jesús Chato-Astrain, Beatriz Fernández-Muñoz, Rafael Campos-Cuerva

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Carlos CasadoUnidad de Producción y Reprogramación Celular, Red Andaluza de Diseño y traslación de Terapias Avanzadas-RAdytTA, Fundación Pública Andaluza Progreso y Salud (FPS), Av. Américo Vespucio 15, 41092, Seville, Spain.
Carmen Cepeda-FrancoInstituto de Biomedicina de Sevilla/Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain.
Sheila Pereira ArenasInstituto de Biomedicina de Sevilla/Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain.
Maria Dolores SuarezServicio de Anatomía Patológica, Hospital Universitario Virgen del Rocío, Seville, Spain.
Miguel Ángel Gómez-BravoInstituto de Biomedicina de Sevilla/Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain.
Miguel AlaminosTissue Engineering Group, Facultad de Medicina Universidad de Granada, Granada, Spain.
Jesús Chato-AstrainTissue Engineering Group, Facultad de Medicina Universidad de Granada, Granada, Spain.
Beatriz Fernández-MuñozUnidad de Producción y Reprogramación Celular, Red Andaluza de Diseño y traslación de Terapias Avanzadas-RAdytTA, Fundación Pública Andaluza Progreso y Salud (FPS), Av. Américo Vespucio 15, 41092, Seville, Spain.
Rafael Campos-CuervaUnidad de Producción y Reprogramación Celular, Red Andaluza de Diseño y traslación de Terapias Avanzadas-RAdytTA, Fundación Pública Andaluza Progreso y Salud (FPS), Av. Américo Vespucio 15, 41092, Seville, Spain. rafael.campos@juntadeandalucia.es.

Funding

Fundación Para La Innovación Y La Prospectiva En Salud En España 3728-20Instituto de Salud Carlos III DTS19/00089Universidad de Sevilla VIIPPIT-2022-II.4
6 · The paper itself

Abstract

Uncontrolled bleeding during surgery is associated with high mortality and prolonged hospital stay, necessitating the use of hemostatic agents. Fibrin sealant patches offer an efficient solution to achieve hemostasis and improve patient outcomes in liver resection surgery. We have previously demonstrated the efficacy of a nanostructured fibrin-agarose hydrogel (NFAH). However, for the widespread distribution and commercialization of the product, it is necessary to develop an optimal preservation method that allows for prolonged stability and facilitates storage and distribution. We investigated cryopreservation as a potential method for preserving NFAH using trehalose. Structural changes in cryopreserved NFAH (Cryo-NFAH) were investigated and comparative in vitro and in vivo efficacy and safety studies were performed with freshly prepared NFAH. We also examined the long-term safety of Cryo-NFAH versus TachoSil in a rat partial hepatectomy model, including time to hemostasis, intra-abdominal adhesion, hepatic hematoma, inflammatory factors, histopathological variables, temperature and body weight, hemocompatibility and cytotoxicity. Structural analyses demonstrated that Cryo-NFAH retained most of its macro- and microscopic properties after cryopreservation. Likewise, hemostatic efficacy assays showed no significant differences with fresh NFAH. Safety evaluations indicated that Cryo-NFAH had a similar overall profile to TachoSil up to 40 days post-surgery in rats. In addition, Cryo-NFAH demonstrated superior hemostatic efficacy compared with TachoSil while also demonstrating lower levels of erythrolysis and cytotoxicity than both TachoSil and other commercially available hemostatic agents. These results indicate that Cryo-NFAH is highly effective hemostatic patch with a favorable safety and tolerability profile, supporting its potential for clinical use.

Indexed as

CryopreservationHemostaticsHydrogelsNanostructuresSepharoseAnimalsFibrinHemostasisHepatectomyHumansMaleRatsRats, Sprague-DawleyFibrinHemostaticsHydrogelsSepharoseCryopreservationFibrin hydrogelHemostatic patchLiver resectionTachoSilTrehalose

Identifiers

PMID39169092
PMCPMC11339259

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.