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. 2022 Nov 29;9(1):648. doi: 10.18063/ijb.v9i1.648

Table 3. Biomaterials for fabricating micro/nanostructures as hemostatic agents.

Hemostatic material Hemostatic mechanism Role in wound healing Limiting factors References
Synthetic polymers
Polyethylene glycol (PEG) Tissue adhesion Carrier for therapeutic agents Expensive; risk of residue [64,210,211]
Polyurethane Platelet aggregation; coagulation initiator Antibacterial agent Slow biodegradation; poor biocompatibility; long polymerization time [212-214]
Natural polymers
Collagen and gelatin Platelet activation Promotes cell growth and proliferation Poor resistance to degradation; risk of immune response [7,124,183,184,200]
Fibrinogen, fibrin Blood clot formation; platelet aggregation Revascularization; promotes epidermal thickness; promotes fibroblast and fibrocyte proliferation Expensive; risk of immune response [185-187]
Hyaluronic acid Tissue adhesion Wound moisture; promotes fibroblast migration and collagen deposition Expensive; difficult to remove [186,188-190]
Cellulose Platelet aggregation; coagulation factor activation Antibacterial agent Slow biodegradation [191-193]
Chitosan Platelet and blood cell adhesion and aggregation Antibacterial agent; promotes granulation tissue formation; promotes fibroblast proliferation Poor biocompatibility; slow degradation [194-198]
Alginate Tissue adhesion Wound moisture; promotes tissue granulation and fibroblast proliferation Low mechanical strength and chemical stability [53,55,199]
Curcumin Immuno-regulator Antibacterial agent; anti-inflammatory; antioxidant; anti-carcinogenic Poor bioavailability and absorption; chemical instability [215-218]
Metal-containing materials
Silver (Ag) Platelet activation Antibacterial agent No biodegradation; difficult to remove; [68,219-222]
Zinc (Zn) Blood cell aggregation Antibacterial agent; epithelization; revascularization; promotes cell proliferation toxic at high concentrations [68,174,190,216]
Iron (Fe) Blood cell aggregation; thrombin stabilizer Revascularization [40,68,171,215,219]
Cerium (Ce) Blood cell aggregation Anti-inflammatory [223-225]
Gold (Au) Phagocytosis Enzymatic activity modulation, anti-carcinogen [226-228]