title: Vein patch angioplasty with non-penetrating titanium clips. Comparison to standard suture technique.
abstract: Our purpose was to compare the Vascular Closure Staples (VCS) clips to a standard suture technique for vein patch angioplasty in a porcine model. Six female pigs underwent vein patch angioplasty of the common iliac arteries with either VCS clips or continuous suturing. The reconstructed vessels were evaluated macroscopically, angiographically and histologically after two months by re-operation. There was a non significant trend towards shorter reconstruction (6.5 +/- 1.8 min. for clips vs. 8.5 +/- 1.7 min. for sutures, p = 0.15) and clamp times when clips were used (8.4 +/- 1.5 min. vs. 10.1 +/- 1.3 min., p = 0.15). At re-operation all vessels were found patent without significant histological differences regarding the intimal reaction. VCS clips are a reliable alternative to sutures for vein patch angioplasty.
authors.affiliation: First Department of Surgery, University of Athens, Athens, Greece.
authors.forename: E
authors.initials: E
authors.lastname: Pikoulis
authors.forename: P
authors.initials: P
authors.lastname: Rhee
authors.forename: T
authors.initials: T
authors.lastname: Nishibe
authors.forename: D
authors.initials: D
authors.lastname: Koronarchis
authors.forename: A
authors.initials: A
authors.lastname: Leppäniemi
authors.forename: I
authors.initials: I
authors.lastname: Karavokyros
authors.forename: D
authors.initials: D
authors.lastname: Burris
authors.forename: C
authors.initials: C
authors.lastname: Bakoyiannis
authors.forename: N
authors.initials: N
authors.lastname: Fishback
authors.forename: D
authors.initials: D
authors.lastname: Wherry
authors.forename: N
authors.initials: N
authors.lastname: Rich
mesh_terms: D000714:Anastomosis, Surgical / Q000295:instrumentation* / Q000379:methods; D017130:Angioplasty; D000818:Animals; D005260:Female; D012086:Reoperation; D013536:Suture Techniques; D013552:Swine; D014025:Titanium; D014654:Vascular Patency; D014945:Wound Healing
chemical_list: D014025:Titanium