Pikoulis E, Rhee P, Nishibe T, Koronarchis D, Leppäniemi A, Karavokyros I, Burris D, Bakoyiannis C, Fishback N, Wherry D, Rich N
First Department of Surgery, University of Athens, Athens, Greece.
Acta Chir Belg. 2009 Nov-Dec;109(6):756-9. doi: 10.1080/00015458.2009.11680530.
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.
我们的目的是在猪模型中比较血管闭合钉（VCS）夹与标准缝合技术用于静脉补片血管成形术的效果。六只雌性猪接受了髂总动脉的静脉补片血管成形术，使用VCS夹或连续缝合。两个月后通过再次手术对重建的血管进行宏观、血管造影和组织学评估。使用VCS夹时，重建时间有缩短的趋势但无统计学意义（夹子组为6.5±1.8分钟，缝合组为8.5±1.7分钟，p = 0.15），夹闭时间也是如此（8.4±1.5分钟对10.1±1.3分钟，p = 0.15）。再次手术时发现所有血管均通畅，内膜反应方面无明显组织学差异。对于静脉补片血管成形术，VCS夹是缝合的可靠替代方法。
