Arterial repair with synthetic patch by using titanium clips

Emmanouil Pikoulis, Peter M Rhee, Toshiya Nishibe, David Burris, Ari K. Leppäniemi, Nancy Fishback, David C. Wherry, Norman M. Rich

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background: Vascular closure staple (VCS) clips made of titanium were originally developed for microvascular anastomoses. There is limited experience with their applicability to vascular reconstruction in larger vessels. This study compares VCS clips to standard sutures in arterial repair using a synthetic patch. Methods: In an experimental study with pigs, two sequential 10-mm abdominal aortotomies were allocated randomly to synthetic patch (polytetrafluoroethylene) repair with VCS clips or continuous 6-0 polypropylene sutures. Angiographic, macroscopic, and microscopic results were assessed after 2 months. Results: There were no significant differences in the patency rate, vessel diameter at the repair site, or healing indices. The mean (SD) clamp time was 8.7 (3.0) minutes for clip repair and 14.3 (7.4) minutes for suture repair (p = 0.04), and the times required for the vessel reconstruction were 5.3 (1.3) and 9.3 (3.0) minutes, respectively (p = 0.009). Conclusion: Patched arterial repair with VCS clips is faster than sutured reconstruction with comparable results after 2 months of follow up.

Original languageEnglish (US)
Pages (from-to)292-295
Number of pages4
JournalJournal of Trauma
Volume48
Issue number2
StatePublished - Feb 2000
Externally publishedYes

Fingerprint

Titanium
Surgical Instruments
Blood Vessels
Sutures
Polypropylenes
Polytetrafluoroethylene
Swine

Keywords

  • Artery
  • Metal clips
  • Reconstruction
  • Synthetic patch
  • VCS clips

ASJC Scopus subject areas

  • Surgery

Cite this

Pikoulis, E., Rhee, P. M., Nishibe, T., Burris, D., Leppäniemi, A. K., Fishback, N., ... Rich, N. M. (2000). Arterial repair with synthetic patch by using titanium clips. Journal of Trauma, 48(2), 292-295.

Arterial repair with synthetic patch by using titanium clips. / Pikoulis, Emmanouil; Rhee, Peter M; Nishibe, Toshiya; Burris, David; Leppäniemi, Ari K.; Fishback, Nancy; Wherry, David C.; Rich, Norman M.

In: Journal of Trauma, Vol. 48, No. 2, 02.2000, p. 292-295.

Research output: Contribution to journalArticle

Pikoulis, E, Rhee, PM, Nishibe, T, Burris, D, Leppäniemi, AK, Fishback, N, Wherry, DC & Rich, NM 2000, 'Arterial repair with synthetic patch by using titanium clips', Journal of Trauma, vol. 48, no. 2, pp. 292-295.
Pikoulis E, Rhee PM, Nishibe T, Burris D, Leppäniemi AK, Fishback N et al. Arterial repair with synthetic patch by using titanium clips. Journal of Trauma. 2000 Feb;48(2):292-295.
Pikoulis, Emmanouil ; Rhee, Peter M ; Nishibe, Toshiya ; Burris, David ; Leppäniemi, Ari K. ; Fishback, Nancy ; Wherry, David C. ; Rich, Norman M. / Arterial repair with synthetic patch by using titanium clips. In: Journal of Trauma. 2000 ; Vol. 48, No. 2. pp. 292-295.
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