Which cardiac procedure is listed as one where Arista is applied?

• A. Pacemaker insertion
• B. CABG or Valve Repair/Replacement
• C. Aneurysm clipping
• D. Angioplasty

Answer: (B)

Arista is a topical hemostatic material used to promote rapid clot formation on exposed tissue surfaces during surgery. It is commonly applied in cardiac procedures with large areas of raw surface and potential oozing, such as CABG (coronary artery bypass grafting) or valve repair/replacement. These procedures create extensive bleeding surfaces along graft lines and valve annuli, where applying Arista helps achieve faster hemostasis and stabilizes bleeding. In contrast, pacemaker insertion involves minimal bleeding, aneurysm clipping is neurosurgical, and angioplasty is typically a percutaneous procedure, not one where Arista is routinely used. Thus, CABG or valve repair/replacement is the scenario where Arista is listed as being applied.