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Journal of Trauma-Injury Infection & Critical Care:
July 2004 - Volume 57 - Issue 1 - pp S38-S41
Article Titles

Evaluation of Poly-N-Acetyl Glucosamine as a Hemostatic Agent in Patients Undergoing Cardiac Catheterization: A Double-Blind, Randomized Study

Najjar, Samer F. MD; Healey, Nancy A. BS; Healey, Christine M.; McGarry, Thomas BS; Khan, Ban MD; Thatte, Hemant S. PhD; Khuri, Shukri F. MD

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Abstract

Background: This is the first blinded, randomized, placebo-controlled clinical trial to evaluate the efficacy of poly-N-acetyl glucosamine (p-GLcNAc) in improving hemostasis in patients undergoing cardiac catheterization.

Methods: Patients were randomly assigned to have either a placebo-treated (n = 17) or a p-GlcNAc-treated (n = 16) 3 × 3-cm patch topically placed at the femoral insertion site at the completion of their catheterization procedure with a mechanical pressure clamp applied over it. The amount of pressure was measured.

Results: Although the placebo group had slightly higher clamp pressure applied to the femoral arterial puncture site at the end of the catheterization procedure (189 ± 47 vs. 149 ± 49 mm Hg, p = 0.042), the time to effective hemostasis (16 ± 7 vs. 10 ± 3 minutes, p = 0.01) was decreased in the p-GlcNAc group by 37%.

Conclusion: The application of p-GlcNAc patches improved hemostasis at the arterial puncture site in patients undergoing cardiac catheterization.

© 2004 Lippincott Williams & Wilkins, Inc.

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