title: Arterio-venous fistula using nonpenetrating titanium clips (VCS).
abstract: Vascular access in haemodialysis is still accompanied by a high morbidity rate. Neointimal hyperplasia due to thrombosis is one of the main causes of vascular access failure. The purpose of this paper is to present the use of non-penetrating titanium clips (VCS) for the creation of an arteriovenous fistula and its outcome.
  
  
  METHODS
  A male patient, 47 years old, with end-stage renal disease - ESRD - (2005) was addressed to our service, for a vascular access reintervention, after a failed forearm radio-cephalic fistula performed 3 months before. In January 2007, an arteriovenous fistula between the brachial artery and the median cubital vein using non-penetrating titanium clips (Anastoclip VCS) was created.
  
  
  RESULTS
  The vascular anastomosis was performed in 17 min. After unclamping the artery, a solid pulse and consistent thrill were obtained at the level of the cubital fossa. The postoperative course was uneventful. The arteriovenous fistula remains functional 60 months post-surgery.
  
  
  CONCLUSIONS
  The Anastoclip VCS system is versatile, safe to manipulate and enables fast anastomosis. Arteriovenous anastomosis performed with non-penetrating clips may be a solution with the potential to reduce postoperative complications and extend arteriovenous fistula patency in ESRD.
authors: Second Surgery Department, V.Babes University of Medicine and Pharmacy, Timisoara, Romania. stepan62@yahoo.com
authors: S
authors: S
authors: Pantea
authors: L
authors: L
authors: Jiga
authors: M
authors: M
authors: Ionac
authors: F
authors: F
authors: Lazar
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007676:Kidney Failure, Chronic / Q000503:physiopathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000379:methods; D013525:Surgical Instruments; D013927:Thrombosis / Q000517:prevention & control; D014025:Titanium; D016896:Treatment Outcome; D014654:Vascular Patency
chemical_list: D014025:Titanium