Pikoulis E, Burris D, Rhee P, Nishibe T, Leppäniemi A, Wherry D, Rich N
Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Am J Surg. 1998 Jun;175(6):494-6. doi: 10.1016/s0002-9610(98)00072-5.
The obvious advantages of rapid arterial anastomoses have prompted the continuing search for more rapid anastomotic techniques to complement the standard sutured anastomosis. Nonpenetrating, arcuate-legged titanium vascular closure staple (VCS) clips were initially developed for microvascular anastomoses. The purpose of this study was to compare VCS clips with sutured arterial end-to-end anastomosis in larger vessels.
In 6 pigs, transacted iliac arteries were reanastomosed with VCS clips on one side and continuous 6-0 polypropylene suture on the other.
The reconstruction time was 8.4+/-5.2 minutes for clip closure and 12.0+/-6.6 minutes for suture closure (P = 0.033). All vessels were patent half an hour after completing the anastomoses with no signs of early thrombosis.
Arterial end-to-end anastomosis can be performed more rapidly with VCS clips than continuous sutures, and are potentially useful in situations where the clamp time of the vessel is critical.
快速动脉吻合术的显著优势促使人们不断探索更快速的吻合技术，以补充标准的缝合吻合术。非穿透性、弧形腿钛制血管闭合吻合钉（VCS）最初是为微血管吻合术而开发的。本研究的目的是比较VCS吻合钉与大血管中缝合的动脉端端吻合术。
在6头猪身上，一侧用VCS吻合钉对切断的髂动脉进行重新吻合，另一侧用连续的6-0聚丙烯缝线进行吻合。
吻合钉闭合的重建时间为8.4±5.2分钟，缝线闭合的重建时间为12.0±6.6分钟（P = 0.033）。完成吻合术后半小时，所有血管均通畅，无早期血栓形成迹象。
使用VCS吻合钉进行动脉端端吻合术比连续缝合更快，并且在血管夹闭时间至关重要时可能有用。
