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Anastomoses in the common femoral artery, vascular clips or sutures? A feasibility study.

Abstract：

BACKGROUND:The Vessel Closure System (VCS) is commercially available since 1997. This clip system has proven to be successful for vascular anastomoses in access surgery. There is little experience with the VCS in peripheral vascular surgery. METHODS:A trial was conducted for patients with peripheral arterial disease, who required either a femoral artery endarterectomy or a peripheral bypass procedure. Patients were randomized into two groups: a VCS group, in which the proximal anastomoses were made using VCS clips; and a control group, in which both proximal and distal anastomoses were performed using Prolene sutures. Outcomes assessed were the speed of anastomosis and patency. Adverse events were monitored. RESULTS:In the VCS group, 12 patients underwent anastomoses using VCS clips. In the control group, 12 patients underwent vascular reconstruction using sutures. In the VCS group, the mean speed of anastomosis was 1.9 mm/min, whereas the mean speed in the control group was 2.5 mm/min; this was not significantly different (P = 0.096). After a follow-up of 12 months, there was no difference in patency. In the VSC group, two serious adverse events occurred, which required emergency surgery. CONCLUSION:Anastomosis in the femoral artery using VCS clips is not faster than that using running Prolene sutures, and in our small sample, two serious adverse events in the VCS group were observed. These results do not support the further use of vascular clips in peripheral vascular surgery.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Donker JM,Tijnagel MJ,van Zeeland ML,Veen EJ,van der Laan L

doi

10.1016/j.avsg.2012.02.008

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

194-8

issue

2

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(12)00210-5

journal_volume

27

pub_type

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