Kania N M, Germann G, Sauerbier M, Exner K, Peek A, Khouri R K
Klinik für Plastische und Wiederherstellungschirurgie, St. Markus Krankenhaus, Frankfurt/M.
Langenbecks Arch Chir Suppl Kongressbd. 1998;115(Suppl I):245-8.
In this study, we investigated a new method of microvascular anastomosis using titanium clips combined with a soluble intraluminal stent. This method was used to perform anastomoses of the common carotid artery in five NZW rabbits and the abdominal aorta in five rabbits. Five rabbits ears were isolated on their central vascular pedicles. The central ear artery was transected and anastomosed using the stent/clip technique. In five carotid arteries, a conventional sutured anastomosis was performed. All anastomoses were patent at POD 1, 7 and 21. The average time to perform stent/clip anastomoses was significantly (p < 0.001) shorter than conventional sutured anastomoses (2.5 min vs. 9 min). There was no observable side effect from the stent material and no evidence of peripheral emboli. The stent/clip technique is an easy, fast and safe method of microvascular anastomosis.
在本研究中,我们研究了一种使用钛夹结合可溶性腔内支架进行微血管吻合的新方法。该方法用于对5只新西兰白兔的颈总动脉和5只兔子的腹主动脉进行吻合。将5只兔子的耳朵在其中心血管蒂上分离出来。切断中心耳动脉并使用支架/夹子技术进行吻合。对5条颈动脉进行了传统的缝合吻合。所有吻合在术后第1天、第7天和第21天均保持通畅。使用支架/夹子进行吻合的平均时间明显(p < 0.001)短于传统缝合吻合(2.5分钟对9分钟)。支架材料未观察到副作用,也没有外周栓子的证据。支架/夹子技术是一种简单、快速且安全的微血管吻合方法。