[The VCS clip--experimental experiences with a new vascular suture stapling device].
Despite improvements in technique and suture material, vascular anastomosis is still associated with a significant rate of early (stenosis, thrombosis) and late (intimal hyperplasia) complications. Although automatic mechanical staplers were practical und comparatively safe to use, they did not play a major role in vascular surgery, probably due to the complexity and difficult handling. In an experimental study with the VCS clip system, we found a significant improvement in performing a hepatic artery anastomosis [9.2 +/- 1.5 min (VCS) vs 20.6 +/- 2.7 min (suture), P < 0.001], early patency and flow rate [150 +/- 29.1 ml/min (1.0 h)-->79.9 +/- 24.0 ml/min (24 h) (suture) vs 186 +/- 45 ml/min (1.0 h)-->162 +/- 48 ml/min (VCS), P < 0.005]. Besides easy handling, the VCS clip system allows for a fast, standardized vascular anastomosis without intimal penetration.
Golling
M
M
Chirurgische Klinik und Poliklinik, Universität Heidelberg.
Mehrabi
A
A
Weiss
G
G
Schäffer
F
F
Kraus
T
T
Klar
E
E
D000714:Anastomosis, Surgical / Q000295:instrumentation; D000818:Animals; D004867:Equipment Design; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D016031:Liver Transplantation / Q000295:instrumentation; D013525:Surgical Instruments; D013528:Surgical Staplers; D013552:Swine; D014654:Vascular Patency / Q000502:physiology; D014656:Vascular Surgical Procedures / Q000295:instrumentation*