Clinic of Vascular and Endovascular Surgery, Padova University School of Medicine, Padova, Italy.
J Vasc Surg. 2011 Sep;54(3):889-92. doi: 10.1016/j.jvs.2011.04.005.
To describe a novel technique (Viabhan Padova Sutureless [ViPS]) that connects a vascular prosthetic graft to a target artery in a sutureless fashion.
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.
Operative time was 60 minutes. Completion angiogram and the computed tomography angiogram at 6 months demonstrated a patent graft.
The ViPS technique provides an alternative for bypass creation when challenging arterial anastomoses are required.
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]）。
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。
手术时间为 60 分钟。6 个月时的完成血管造影和 CT 血管造影显示移植物通畅。
当需要进行具有挑战性的动脉吻合时，ViPS 技术为旁路手术提供了一种替代方法。
