| Rapid arterial anastomosis with titanium clips. | |
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MedLine Citation:
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PMID: 9645780 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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E Pikoulis; D Burris; P Rhee; T Nishibe; A Leppäniemi; D Wherry; N Rich |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 175 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 1998 Jun |
Date Detail:
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Created Date: 1998-07-09 Completed Date: 1998-07-09 Revised Date: 2003-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 494-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anastomosis, Surgical
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instrumentation Animals Arteries / surgery* Female Iliac Artery / surgery Polypropylenes Surgical Instruments* Sutures Swine Titanium |
| Chemical | |
Reg. No./Substance:
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0/Polypropylenes; 7440-32-6/Titanium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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