Document Detail


U Clips for arteriovenous anastomosis: a pilot, randomized study.
MedLine Citation:
PMID:  22900497     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: The objective of this study was to assess a novel, new, nitinol clip for performing arteriovenous anastomoses. METHODS: This was a pilot, randomized, blinded trial. The trial was register with Clinicaltrials.gov identifier - NCT00829153. Thirty-one patients undergoing autologous arteriovenous fistulas for renal access, where the inflow artery had a lumen diameter of 2 mm or more and the outflow vein had a diameter of 3 mm or more, were included in this study. At the time of operative preparation and exposure of the vessels, the patients were randomized to a conventional anastomosis with 6/0 Prolene or to U Clip anastomosis. The primary outcome measure was three successful dialysis treatments using the fistula. RESULTS: The primary outcome was achieved in 8/19 (42%) of the Prolene group and 7/12 (58%) in the U Clip group (P = 0.379 chi-squared test Pearson uncorrected). CONCLUSION: This pilot study has shown no advantage to the U Clip anastomotic technique when compared with the traditional continuous Prolene technique.
Authors:
Stuart Robert Walker
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-20
Journal Detail:
Title:  ANZ journal of surgery     Volume:  -     ISSN:  1445-2197     ISO Abbreviation:  ANZ J Surg     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Author. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons.
Affiliation:
Department of Vascular and Endovascular Surgery, Royal Hobart Hospital, Hobart, Tasmania, Australia.
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