title: ViPS technique as a novel concept for a sutureless vascular anastomosis.
abstract: OBJECTIVE
  To describe a novel technique (Viabhan Padova Sutureless [ViPS]) that connects a vascular prosthetic graft to a target artery in a sutureless fashion.
  
  
  METHODS
  The patient was a 74-year-old male with complete superficial femoral artery (FA) occlusion and reconstitution of a circumferentially calcified above-knee popliteal artery (ANPA). The proximal end of a surgeon-modified 7-mm Viabahn endoprosthesis was sutured to a 7-mm polytetrafluoroethylene graft (PTFEg). After surgical exposure, the ANPA was transected, and the undeployed distal portion of the Viabahn was inserted, supported by a stiff guidewire. The distal portion of the Viabahn graft was then deployed and ballooned with optimal apposition. Finally, the proximal end of the PTFEg was sutured to the common FA.
  
  
  RESULTS
  Operative time was 60 minutes. Completion angiogram and the computed tomography angiogram at 6 months demonstrated a patent graft.
  
  
  CONCLUSIONS
  The ViPS technique provides an alternative for bypass creation when challenging arterial anastomoses are required.
authors: Clinic of Vascular and Endovascular Surgery, Padova University School of Medicine, Padova, Italy. stefanobonvini@yahoo.it
authors: Stefano
authors: S
authors: Bonvini
authors: Joseph J
authors: JJ
authors: Ricotta
authors: Michele
authors: M
authors: Piazza
authors: Luca
authors: L
authors: Ferretto
authors: Franco
authors: F
authors: Grego
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D057510:Endovascular Procedures / Q000295:instrumentation; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D013536:Suture Techniques; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency
chemical_list: D011138:Polytetrafluoroethylene