ViPS 技术——一种用于无缝合血管吻合的新概念。

ViPS technique as a novel concept for a sutureless vascular anastomosis.

机构信息

Clinic of Vascular and Endovascular Surgery, Padova University School of Medicine, Padova, Italy.

出版信息

J Vasc Surg. 2011 Sep;54(3):889-92. doi: 10.1016/j.jvs.2011.04.005.

DOI:10.1016/j.jvs.2011.04.005

PMID:21889707

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.

CONCLUSION

The ViPS technique provides an alternative for bypass creation when challenging arterial anastomoses are required.

摘要

目的

描述一种将血管移植物与靶动脉以无创方式连接的新型技术（Viabhan Padova 免缝合[ViPS]）。

方法

患者为 74 岁男性，存在完全性股浅动脉（FA）闭塞和膝关节以上环状钙化腘动脉（ANPA）再通。外科医生改良的 7mm Viabahn 覆膜支架的近端用 7mm 聚四氟乙烯移植物（PTFEg）缝合。手术暴露后，横断 ANPA，插入未展开的 Viabahn 远端部分，由硬导丝支撑。然后展开 Viabahn 移植物的远端部分，并进行最佳贴壁的球囊扩张。最后，PTFEg 的近端缝合到股总动脉。