If bleeding persists after Arista AH is applied, what should be done?

• A. Stop the procedure; no more measures.
• B. Reapply Arista AH exclusively.
• C. Additional hemostatic measures may be required; Arista AH is an adjunct, not a replacement for proper technique.
• D. It will self-control.

Answer: (C)

Arista AH is a hemostatic adjunct designed to aid clot formation, but it’s not a substitute for proper technique. If bleeding persists after applying Arista AH, you should continue with other hemostatic measures and methods as needed (such as direct pressure, packing, suturing, electrocautery, or additional topical agents) to achieve definitive control. In other words, Arista AH helps but does not guarantee stopping all bleeding on its own, so relying on it exclusively or assuming it will self-control isn’t appropriate. It’s a part of the overall strategy, and further measures may be required until hemostasis is achieved.