Rapid arterial anastomosis with titanium clips

Emmanouil Pikoulis, David Burris, Peter M Rhee, Toshiya Nishibe, Ari Leppäniemi, David Wherry, Norman Rich

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)494-496
Number of pages3
JournalAmerican Journal of Surgery
Volume175
Issue number6
DOIs
StatePublished - Jun 1998
Externally publishedYes

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Titanium
Surgical Instruments
Blood Vessels
Sutures
Polypropylenes
Iliac Artery
Thrombosis
Swine

ASJC Scopus subject areas

  • Surgery

Cite this

Pikoulis, E., Burris, D., Rhee, P. M., Nishibe, T., Leppäniemi, A., Wherry, D., & Rich, N. (1998). Rapid arterial anastomosis with titanium clips. American Journal of Surgery, 175(6), 494-496. https://doi.org/10.1016/S0002-9610(98)00072-5

Rapid arterial anastomosis with titanium clips. / Pikoulis, Emmanouil; Burris, David; Rhee, Peter M; Nishibe, Toshiya; Leppäniemi, Ari; Wherry, David; Rich, Norman.

In: American Journal of Surgery, Vol. 175, No. 6, 06.1998, p. 494-496.

Research output: Contribution to journalArticle

Pikoulis, E, Burris, D, Rhee, PM, Nishibe, T, Leppäniemi, A, Wherry, D & Rich, N 1998, 'Rapid arterial anastomosis with titanium clips', American Journal of Surgery, vol. 175, no. 6, pp. 494-496. https://doi.org/10.1016/S0002-9610(98)00072-5
Pikoulis E, Burris D, Rhee PM, Nishibe T, Leppäniemi A, Wherry D et al. Rapid arterial anastomosis with titanium clips. American Journal of Surgery. 1998 Jun;175(6):494-496. https://doi.org/10.1016/S0002-9610(98)00072-5
Pikoulis, Emmanouil ; Burris, David ; Rhee, Peter M ; Nishibe, Toshiya ; Leppäniemi, Ari ; Wherry, David ; Rich, Norman. / Rapid arterial anastomosis with titanium clips. In: American Journal of Surgery. 1998 ; Vol. 175, No. 6. pp. 494-496.
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