Arterial anastomosis using the telescoping method and an elastomeric adhesive.
We experimentally studied a new technique for anastomosis of small arteries which involves the telescoping method and a surgical adhesive with the objective of examining its clinical potential. This technique was applied to the unilateral femoral arteries of 27 mongrel dogs. After division of the artery, the distal artery was incised longitudinally, and the proximal end was invaginated into the opened artery. One stay suture and the elastomeric adhesive PUP201 were placed in the anastomotic site. The bursting and tensile strength and the patency were examined, and a histopathological study was performed at various intervals up to 1 year after the operation. The bursting strength exceeded 500 mm Hg. The patency rate of the anastomosed arteries was 100%. The mean percentage of stenosis to diameter of the proximal normal lumen was 20% one year after operation. The luminal surface of the anastomosed line was healed smoothly, and thrombi between the telescoped arteries were replaced by elastofibrotic union. In conclusion, small arterial anastomosis using the telescoping method and an elastomeric adhesive is easy and safe and provides good patency.
Urayama
H
H
First Department of Surgery, Kanazawa University School of Medicine, Japan.
Tsuchida
K
K
Ohtake
H
H
Kawasuji
M
M
Watanabe
Y
Y
D000714:Anastomosis, Surgical / Q000379:methods*; D000818:Animals; D001158:Arteries / Q000473:pathology / Q000502:physiology / Q000601:surgery*; D004285:Dogs; D011140:Polyurethanes; D013718:Tensile Strength; D014014:Tissue Adhesives; D014654:Vascular Patency; D014945:Wound Healing
C119747:PUP201; D011140:Polyurethanes; D014014:Tissue Adhesives