Document Detail


Rapid arterial anastomosis with titanium clips.
MedLine Citation:
PMID:  9645780     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The obvious advantages of rapid arterial anastomoses have prompted the continuing search for more rapid anastomotic techniques to complement the standard sutured anastomosis. Nonpenetrating, arcuate-legged titanium vascular closure staple (VCS) clips were initially developed for microvascular anastomoses. The purpose of this study was to compare VCS clips with sutured arterial end-to-end anastomosis in larger vessels. METHODS: In 6 pigs, transacted iliac arteries were reanastomosed with VCS clips on one side and continuous 6-0 polypropylene suture on the other. RESULTS: The reconstruction time was 8.4+/-5.2 minutes for clip closure and 12.0+/-6.6 minutes for suture closure (P = 0.033). All vessels were patent half an hour after completing the anastomoses with no signs of early thrombosis. CONCLUSIONS: Arterial end-to-end anastomosis can be performed more rapidly with VCS clips than continuous sutures, and are potentially useful in situations where the clamp time of the vessel is critical.
Authors:
E Pikoulis; D Burris; P Rhee; T Nishibe; A Leppäniemi; D Wherry; N Rich
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  175     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-07-09     Completed Date:  1998-07-09     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  494-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / instrumentation
Animals
Arteries / surgery*
Female
Iliac Artery / surgery
Polypropylenes
Surgical Instruments*
Sutures
Swine
Titanium
Chemical
Reg. No./Substance:
0/Polypropylenes; 7440-32-6/Titanium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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