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A Comparison of Chitosan and Collagen Sponges as Hemostatic Dressings
Xiaohong Wang
Key Laboratory for Advanced Manufacturing by Materials Processing Technology and Center of Organ Manufacturing, Department of Mechanical Engineering, Tsinghua University, Beijing 100084, P.R. China, Institute of Life Science and Medicine, Tsinghua University, Beijing 100084, P.R. China, wangxiaohong{at}tsinghua.edu.cn
Yongnian Yan
Key Laboratory for Advanced Manufacturing by Materials Processing Technology and Center of Organ Manufacturing, Department of Mechanical Engineering, Tsinghua University, Beijing 100084, P.R. China, Institute of Life Science and Medicine, Tsinghua University, Beijing 100084, P.R. China
Renji Zhang
Key Laboratory for Advanced Manufacturing by Materials Processing Technology and Center of Organ Manufacturing, Department of Mechanical Engineering, Tsinghua University, Beijing 100084, P.R. China, Institute of Life Science and Medicine, Tsinghua University, Beijing 100084, P.R. China
The hemostatic capability, adhesion ability and biocompatibility of chitosan sponges were compared with commercial collagen sponges. The chitosan sponges were briefly immersed in an aqueous 20% ammonia solution before being applied to a rabbit cervical vein wound. The total amount of bleeding from the injured veins until hemostasis was similar for both chitosan and collagen sponges. The complete hemostasis success rates for both the chitosan and collagen sponges were also similar. Under hemostasis, the chitosan sponges strongly adhered to the surface of the rabbit muscles, whereas the collagen sponges were easily detached from the muscles. Under wet conditions, however, there was no significant difference in the adhesive ability between the two sponges. During implantation, the chitosan sponges were much more flexible and resistant to breakage than the collagen sponges. The biocompatibilities and biodegradation rates of the two sponges were totally different after subcutaneous implantation in rabbits. The chitosan sponge was degraded much slower than the collagen sponge, while tissue responses for the chitosan sponges were much greater than for the collagen sponges.
Key Words: hemostasis chitosan collagen adhesion biocompatibility
References
- Sondeen, J.L., Pusateri, A.E., Coppes, V.G., Gaddy, C.E. and Holcomb, J.B. (2003). Comparison of 10 Different Hemostatic Dressings in an Aortic Injury , Journal of Trauma Injury Infection and Critical Care, 54(2): 280-285 .
- Nakayama, Y. and Matsuda, T. (1995). Newly Developed Hemostatic Technology Based on Photocurable Gelatin , ASAIO J., 41(3): M374-M378 .[Medline]
[Order article via Infotrieve]
- Collins, J.A., Pani, K.C., Seidenstein, M.M., Brandes, G. and Leonard, F. (1969). Cyanoacrylate Adhesives as Topical Hemostatic Aids. I. Experimental Evaluation on Liver Wounds in Dogs , Surgery, 65(2): 256-259 .[Web of Science][Medline]
[Order article via Infotrieve]
- Hait, M.R., Robb, C.A., Baxter, C.R., Borgmann, A.R. and Tippett, L.O. (1973). Comparative Valuation of Avitene Microcrystalline Collagen Hemostat in Experimental Animal Wounds , Am J. Surg., 125: 248-257 .
- Morgenstern, L. (1974). Microcrystalline Collagen Used in Experimental Splenic Injury , Arch. Surg., 109: 44-47 .[Abstract/Free Full Text]
- Correll, J.T., Prentice, H.R. and Wise, R.C. (1945). Biological Investigations of a New Absorbable Sponge , Surg. Gynecol. Obstet., 81: 585 .
- Jenkins, H.P. and Clarke, J.S. (1945). Gelatin Sponge, a New Hemostatic Substance , Arch. Surg., 51: 253 .[Abstract/Free Full Text]
- Chang, H., Wu, G.J., Perng, W.L., Hwang, F.E. and Hung, C.R. (1992). Effects of Fibrin Glue on Hemostasis , J. Formosan Med. Assoc., 91: 6 .
- Otani, Y., Tabata, Y. and Ikada, Y. (1996). Adhesion of Soft Tissues by Gelatin-polyanion Hydrogels , J. Adhesion, 59: 197-205 .
- Otani, Y., Tabata, Y. and Ikada, Y. (1996). A New Biological Glue from Gelatin and Poly(L-glutamic Acid) , J. Biomed. Mater. Res., 31: 157-166 .
- Sato, H., Mizutanim, S. and Tsuge, S. (1998). Determination of the Degree of Acetylation of Chitin/Chitosan by Pyrolysis-gas Chromatography in the Presence of Oxalic Acid , Anal. Chem., 70: 7-12 .
- Kurita, K. (1998). Chemistry and Application of Chitin and Chitosan , Polym. Degrad. Stabil., 59: 117-120 .[CrossRef]
- Kweon, D.K. (1998). Preparation and Characteristics of Chitosan-g-PDMS Copolymer , Polym. Bull., 41(6): 645-651 .[CrossRef]
- Tsai, C.J., Hsu, L.R., Fang, J.Y. and Lin, H.H. (1999). Chitosan Hydrogel as a Base for Transdermal Delivery of Berberine and Its Evaluation in Rat Skin , Bio. Pharm. Bull., 22(4): 397-401 .
- Graeme, I.H., Peter, W.D., Paul, A.G., Frank, C.H., Michael, D. and Edward, J.W. (2001). The Effect of Chitin and Chitosan on the Proliferation of Human Skin Fibroblasts and Keratinocytes In Vitro , Biomaterials, 22: 2959-2966 .[Medline]
[Order article via Infotrieve]
- Kifune, K. (1992). Clinical Application of Chitin Artificial Skin. In: Brine, C.J., Sanford, P.A., Zikakis, J.P. (eds), Advanced in Chitin and Chitosan, pp. 9-15, Elsevier Science, London .
- Malette, E.G., Euigleym Jr, H.J., Gaines, R.D., Johnson, N.D. and Rainer, W.G. (1993). A Hemostatic Activity of Chitosan , Ann. Thorac. Surg., 35: 55-58 .
- Klokkevold, P.R., Subar, P. and Fukayama, H. (1992). Effect of Chitosan on Lingual Hemostasis in Rabbits with Platelet Dysfunction Induced by Epoprostenol [J] , J. Oral Maxillofac. Surg., 50: 41-45 .[Web of Science][Medline]
[Order article via Infotrieve]
- Hoekstra, A., Struszczyk, H. and Kivekäs, O. (1998). Percutaneous Micro-crystalline Chitosan Application for Sealing Arterial Puncture Sites , Biomaterials, 19: 1467-1471 .[Medline]
[Order article via Infotrieve]
- Chan, M.W., Schwaitzberg, S.D., Demcheva, M., Vournakis, J.N., Finkielsztein, S. and Connolly, R.J. (2000). Pre-clinical Comparison of p-GlcNAc with Absorbable Collagen (Actifoam) and Fibrin Sealant for Achieving Hemostasis in a Swine Model of Splenic Hemorrhage , J. Trauma, 48(3): 454-459 .[Medline]
[Order article via Infotrieve]
- Khan, T.A., Peh, K.K. and Chng, H.S. (2000). Mechanical, Bioadhesive Strength and Biological Evaluations of Chitosan Films for Wound Dressing , J. Pharm. Pharmaceut. Sci., 3(3): 303-311 .[Web of Science][Medline]
[Order article via Infotrieve]
- Pankaj, S.M. and Massimiliano, C. (2001). The Role of Fibrin Sealants in Hemostasis , American Journal of Surgery, 182: 21S-28S .[CrossRef][Medline]
[Order article via Infotrieve]
- Wang, X.H., Li, D.P., Wang, W.J., Feng, Q.L., Cui, F.Z., Xu, Y.X., Song, X.H. and van der Werf, M. (2003). Crosslinked Collagen/Chitosan Matrices for Artificial Livers , Biomaterials, 24: 3213-3220 .[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Wang, X.H., Cui, F.Z., Feng, Q.L., Li, J.C. and Zhang, Y.H. (2003). Preparation and Characterization of Collagen/Chitosan Matrices as Potential Biomaterials , Journal of Bioactive and Compatible Polymers, 18: 453-467 .[Abstract]
- Wang, X.H., Yan, Y.N., Xiong, Z., Lin, F., Wu, R.D., Zhang, R.J. and Lu, Q.P. (2005). Preparation and Evaluation of Ammonia Treated Collagen/Chitosan Matrices for Liver Tissue Engineering , J. Biomed. Mater. Res.: Part B - Applied Biomaterials, in press.
- Peppas, N.A. and Buri, P.A. (1985). Surface, Interfacial and Molecular Aspects of Polymer Bioadhesion on Soft Tissues , J. Controlled Rel., 2: 257-275 .[CrossRef]
Journal of Bioactive and Compatible Polymers, Vol. 21, No. 1,
39-54 (2006)
DOI: 10.1177/0883911506060201

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