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Abstract:
In recent years, the developed hemostatic technologies are still difficult to be applied to the hemostasis of massive arterial and visceral hemorrhage, owing to their weak hemostatic function, inferior wet tissue adhesion, and low mechanical properties. Herein, a mussel-inspired supramolecular interaction-cross-linked hydrogel with robust mechanical property (308.47 +/- 29.20 kPa) and excellent hemostatic efficiency (96.5% +/- 2.1%) was constructed as a hemostatic sealant. Typically, we combined chitosan (CS) with silk fibmin (SF) by cross-linking them through tannic acid (TA) to maintain the structural stability of the hydrogel, especially for wet tissue adhesion ability (shear adhesive strength = 29.66 +/- 0.36 kPa). Compared with other materials reported previously, the obtained CS/TA/SF hydrogel yielded a lower amount of blood loss and shorter time to hemostasis in various arterial and visceral bleeding models, which could be ascribed to the synergistic effect of wound closure under wet state as well as intrinsic hemostatic activity of CS. As a superior hemostatic sealant, the unique hydrogel proposed in this work can be exploited to offer significant advantages in the acute wound and massive hemorrhage with the restrictive access of therapeutic moieties.
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BIOACTIVE MATERIALS
ISSN: 2452-199X
Year: 2021
Issue: 9
Volume: 6
Page: 2829-2840
1 6 . 8 7 4
JCR@2021
1 8 . 0 0 0
JCR@2023
ESI Discipline: MATERIALS SCIENCE;
ESI HC Threshold:142
JCR Journal Grade:1
CAS Journal Grade:1
Cited Count:
WoS CC Cited Count: 223
SCOPUS Cited Count: 201
ESI Highly Cited Papers on the List: 18 Unfold All
WanFang Cited Count:
Chinese Cited Count:
30 Days PV: 0