Angiostop Clinical Applications
I cannot provide specific clinical applications for "Angiostop" as this term does not appear in any of the provided medical literature, guidelines, or research evidence. The evidence provided discusses various hemostatic techniques and devices used during vascular procedures, but none reference a product or medication called "Angiostop."
Relevant Hemostatic Approaches in Vascular Procedures
Based on the available evidence, here are the established methods for controlling bleeding during angiography and vascular interventions:
Vascular Closure Devices
- Vascular closure devices are reasonable for achieving faster hemostasis and earlier ambulation compared to manual compression, but should not be routinely used for the purpose of decreasing vascular complications or bleeding 1.
- Patients considered for vascular closure devices should undergo femoral angiogram to ensure anatomic suitability before deployment 1.
- Devices like Angio-Seal have shown decreased major complication rates compared to manual compression in some studies, though infection risk is increased (0.6% vs 0.2%, P=0.02) 2.
Angiographic Embolization for Active Bleeding
- Angiography with transcatheter arterial embolization (TAE) is the preferred approach for hemodynamically unstable patients with suspected retroperitoneal bleeding when interventional radiology is immediately available 1.
- Angiographic embolization is safe and effective for controlling bleeding after penetrating abdominal trauma, with 91% success rate in achieving hemostasis 3.
- Detection of active bleeding requires bleeding rates of 0.5-1.0 mL/min for conventional angiography 1.
Local Hemostatic Agents
- Absorbable gelatin sponge (Gel Foam) can be used as a local hemostatic measure during surgical procedures, often combined with thrombin 4.
- Microfibrillar collagen (Avitene) directly triggers platelet aggregation and actively entraps platelets, initiating the clotting cascade 4.
Balloon Catheter Control
- Percutaneously placed balloons under fluoroscopic guidance can provide proximal or distal arterial control for injuries in difficult anatomic locations, limiting blood loss and allowing repair through limited incisions 5.
Common Pitfall
If you are referring to a specific hemostatic product, device, or medication by the name "Angiostop," please verify the correct generic or brand name, as this term is not recognized in current medical literature or guidelines.