• Rupture of the free ventricular wall (after acute myocardial infarction)
• Hemostasis of diffuse bleeding after adhesiolysis
• Hemostasis of chest wall arterial bed (arteria mammaria interna)
• Pacemaker implantation site in patients with coagulation disorders
• Sealing of an aortotomy after cardiac valve repair
• Ventricular cannulation site
• Tissue sealing
• Sealing iatrogenic lung injuries
• Ventricular cannulation site
• Dissecting aortic aneurysms

• Lymph sealing

• Protection for the suture of an aortic graft anastomosis or an apical access for aortic valve replacement
• Hemostasis of vascular anastomoses

TachoSil patches are safe and effective for controlling suture-hole bleeding in open abdominal aortic aneurysm repair.3

• Time to hemostasis: 264 s with TachoSil vs. 408 s in control (p = 0.026)
• Mean blood loss: 503.5 cc vs. 615.7 cc
• Bleeding from the venous low-pressure system was successfully stopped using TachoSil. TachoSil is also suitable for use in organ transplantations¹⁰

1. Repair of coronary artery perforation following angioplasty using TachoSil patches⁶

• Coronary artery perforation is a potential and dreaded complication of percutaneous transluminal coronary angioplasty (PTCA), which is usually treated by further percutaneous maneuvers, such as prolonged balloon inflation, coil embolization or placement of additional stents.
• We present a treatment approach for this complication that has been shown to be effective in bleeding from the left anterior descending coronary artery (LAD). Temporarily compressing the beating heart flaps with TachoSil resulted in complete and stable haemostasis.

2. Surgical management of penetrating cardiac injuries using a fibrin glue sheet⁷

• A penetrating cardiac injury is among the most lethal of all injuries. Clinical case of penetrating cardiac injuries to both ventricles.
• A man attempted suicide by stabbing himself with a 30-centimeter sashimi knife. Three stab wounds: 1. penetrated the neck, 2. was located in the fourth intercostal space,3. was in the right upper quadrant of the abdomen.
• The injury to the left ventricle was repaired using TachoComb patch without employing cardiopulmonary bypass.

1. Sutureless repair for postinfarction left ventricular free wall rupture.⁸

• 35 consecutive patients undergoing sutureless repair LVFWR using the TachoComb or TachoSil.
• Conclusion: Sutureless repair using the TachoSil can be an expedient, effective, and safe treatment option for LVFWR in selected cases (not in case of blow-out type LVFWR).

2. Matteucci M, at al..Meta-analysis of surgical treatment for postinfarction left ventricular free-wall rupture.⁹

• Meta-analysis retrospective studies of adult undergoing cardiac surgery for post‐acute myocardial infarction (AMI) LVFWR.
• 11 studies were included in the analysis, with total 363 patients. Risk of publication bias was low.
• Sutureless technique (including TachoSil) allows a reduction of about 40% of the in‐hospital mortality compared to the suture technique, which was reported in 213 patients (59%).

Links to regional SMPC:

• EMA SmPC: https://www.ema.europa.eu/en/medicines/human/EPAR/tachosil
• UK SmPC: https://products.mhra.gov.uk/search/?search=tachosil&page=1
• USA SmPC: https://www.fda.gov/vaccines-blood-biologics/approved-blood-products/tachosil
• Switzerland SmPC: https://www.swissmedicinfo.ch/ViewMonographie

Abbreviated SmPC:

TachoSil Sealant Matrix (5.5 mg per cm2 of human fibrinogen, 2.0 IU per cm2 of human thrombin)

Statement: Before prescribing, consult/refer to the full prescribing information. Presentation: An off-white sealant matrix. The active side of the matrix is coated with fibrinogen and thrombin, is marked by a yellow colour. Supplied, ready to use, in sterile packaging. Legal Classification: Restricted prescription only medicine. Indications: In adults and children from 1 month old, for supportive treatment in surgery for improvement of haemostasis, to promote tissue sealing, and for suture support in vascular surgery where standard techniques are insufficient; also, in adults for supportive sealing of the dura mater to prevent postoperative cerebrospinal leakage following neurosurgical procedures. Dosage & Administration: For epilesional use only. Use is restricted to experienced surgeons. The quantity to be applied is governed by the size of wound area, and the underlying clinical need for the patient. In clinical studies, the individual dosages have typically ranged from 1-3 units (9.5 cm x 4.8 cm); application of up to 10 units has been reported. For smaller wounds, the smaller size matrices (4.8 cm x 4.8 cm or 3.0 cm x 2.5 cm) or the pre-rolled matrix (based on a matrix of 4.8 cm x 4.8 cm) is recommended. TachoSil should be used under sterile conditions and immediately after opening the inner sterile cover. Prior to application, the wound area should be cleansed, e.g. from blood, disinfectants and other fluids. For Flat TachoSil, the sterile package should be pre-moistened in saline solution and applied immediately. The yellow, active side of the matrix is applied to the bleeding/leaking surface and held against it with a gentle pressure for 3-5 minutes. For pre-rolled TachoSil, after removing from the sterile package, it should be applied immediately through the trocar without pre-moistening. The yellow, active side of the matrix is applied to the bleeding/leaking surface using e.g., a pair of cleansed forceps and held against it with a moist pad under gentle pressure for 3-5 minutes. Pressure is applied with moistened gloves or a moist pad. Avoid TachoSil sticking to surgical instruments, gloves or adjacent tissues covered with blood by cleansing them before application. After pressing TachoSil to the wound, the glove or the pad must be removed carefully. To avoid TachoSil from being pulled loose it may be held in place at one end, e.g. with a pair of forceps. In the case of stronger bleeding, it may be applied without pre-moistening, while also pressing gently to the wound for 3-5 minutes. The active side of TachoSil should be applied so that it extends 1-2 cm beyond the margins of the wound. If more than one matrix is used, they should overlap. TachoSil can be cut to the correct size and shaped if too large. In neurosurgery, TachoSil should be applied on top of the primary dura closure. Contraindications: Intravascular use; hypersensitivity to the active substances or to any of the excipients. Warnings & Precautions: No specific data available on the use of this product in gastrointestinal anastomoses surgery. Life threatening thromboembolic complications may occur if the preparation is applied intravascularly. Allergic type hypersensitivity reactions are possible, as with any protein product. If hypersensitivity reactions occur, the administration must be discontinued immediately. To prevent the development of tissue adhesions at undesired sites, ensure tissue areas outside the desired application area are adequately cleansed before administration. In the case of shock, the current medical standards for shock treatment should be followed. Standard measures to prevent infections resulting from the use of medicinal products prepared from human blood or plasma include selection of donors, screening of individual donations and plasma pools for specific markers of infection and the inclusion of effective manufacturing steps for the inactivation/removal of viruses. Measures taken are considered effective for enveloped viruses such as HIV, HBV and HCV and for the non-enveloped virus HAV. Measures may be of limited value against non-enveloped viruses such as parvovirus B19. Parvovirus B19 infection may be serious for pregnant women (foetal infection) and for individuals with immunodeficiency or increased erythropoiesis (e.g., haemolytic anaemia). It is recommended to record the name and the batch number of the product administered to the patient. Some cases of product non-adhesion issues have been reported in the form of lack of product adhesion / lack of efficacy. Correct product handling and application is required Interactions: No interaction studies have been performed. Similar to comparable products or thrombin solutions, the sealant may be denatured after exposure to solutions containing alcohol, iodine, or heavy metals. Such substances should be removed to the greatest possible extent before applying the sealant. Fertility, Pregnancy & Lactation: Safety for use in human pregnancy or breastfeeding has not been established in the clinical studies. Only administer to pregnant and breastfeeding women if clearly needed. Effects on Ability to Drive and Use Machines: Not relevant. Undesirable Effects: Hypersensitivity or allergic reactions (in isolated cases these reactions may progress to severe anaphylaxis; some cases of product residue causing granuloma), thromboembolic complications may occur if used intravascularly, and adhesions and intestinal obstruction when used in abdominal surgery. Refer to the SmPC for details on full side effect profile and interactions. Overdose information: No case of overdose has been reported. Interactions with Other Medicinal Products: No interaction studies have been performed. Similar to comparable products or thrombin solutions, the sealant may be denatured after exposure to solutions containing alcohol, iodine or heavy metals (e.g., antiseptic solutions). Such substances should be removed to the greatest possible extent before applying the sealant. Use in Special Populations: Limited data are available to support efficacy and safety of TachoSil in the paediatric population. In clinical studies, a total of 36 paediatric patients aged 0-13 years were treated with TachoSil in hepatic surgery. Pack Sizes: Package with 1 matrix of 9.5 cm x 4.8 cm
Package with 2 matrices of 4.8 cm x 4.8 cm
Package with 1 matrix of 3.0 cm x 2.5 cm
Package with 5 matrices of 3.0 cm x 2.5 cm
Package with 1 pre-rolled matrix of 4.8 cm x 4.8 cm
Not all pack sizes may be marketed.
Marketing Authorisation Holder: Corza Medical GmbH, Speditionstraße 21, 40221 Düsseldorf, Germany.
The full SmPC can be obtained from Corza Medical GmbH.
Marketing Authorisation Numbers: EU/1/04/277/001-005.
Date of Revision of the Text: 8 May 2025.
Link/QR to Full SmPC or Prescribing information.