Five years' world experience with nonpenetrating clips for vascular anastomoses

Zeebregts, Clark J.; Kirsch, Wolff M.; Dungen, Jan J. van den; Zhu, Yong; Schilfgaarde, R. van

doi:10.1016/j.amjsurg.2003.08.028

Cited by 29 publications

(20 citation statements)

References 61 publications

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“…The applicator places titanium clips onto everted anastomotic cuffs, resulting in the absence of intraluminal foreign material. The VCS® clip applicator has been used for both end‐to‐end and end‐to‐side anastomoses 43–47. Various series have demonstrated that the VCS® clip applicator is easy to use and faster than traditional sutured anastomoses 38, 43–45.…”

Section: Resultsmentioning

confidence: 99%

Modern adjuncts and technologies in microsurgery: An historical and evidence‐based review

et al. 2010

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Section: Resultsmentioning

confidence: 99%

Modern adjuncts and technologies in microsurgery: An historical and evidence‐based review

et al. 2010

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“…13,14 Such devices have been applied to relatively large-caliber blood vessels (>2-mm diameter) with successful clinical patency comparable to suture-based anastomosis. [1][2][3] However, no devices have been developed for anastomosis of small-caliber vessels (<2-mm diameter). 4,5 For example, although polyethylene ring device with steel pins for fixation (Unilink system; Synovis, St Paul, MN) are commercially available, 13,14 their application to 1-mm diameter grafts resulted in occlusion in 17% of implanted animals.…”

Section: Discussionmentioning

confidence: 99%

“…Although several anastomotic devices have been developed to date and applied clinically, most of them have been designed for large-caliber vessels (>2-mm diameter), [1][2][3] and there are no available devices for anastomosis of small-caliber vessels. 4,5 Because small-vessel anastomosis is a laborious task, the development of such devices has considerable importance.…”

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confidence: 99%

Bioabsorbable device for small‐caliber vessel anastomosis

et al. 2010

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Although the devices for large-caliber vessel (>2-mm diameter) anastomosis are available, there are no devices for performing anastomosis of small-caliber vessels. We designed a hooked device composed of a bioabsorbable polymer for sutureless anastomosis of small-caliber vessels. The efficacy of this device was evaluated by in vitro degradation and arterial-fixation strength tests as well as in vivo transplantation experiments with common carotid arteries of growing SD rats. A nonabsorbable device without hooks served as the control in the fixation strength and animal experiments. The tensile strength of the bioabsorbable device decreased to 27 and 9% of the initial value after 8- and 24-week incubation, respectively. The fixation strength was greater and the anastomotic time was shorter with this device than with the control. The transplantation experiments showed complete endothelial bridging in both devices at 2 weeks after surgery (n = 6). The control device created a considerable protrusion into the arterial lumen at 8 postoperative weeks, whereas the experimental device did not (n = 6). Arterial diameter measurements detected a significant difference between the inner diameters at the respective anastomotic sites (n = 6, P < 0.05) and demonstrated that the control device hindered the vessel growth while the experimental device did not. Therefore, the bioabsorbable hooked device was an effective tool for anastomosis of small-caliber arteries (ca. 1-mm diameter).

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“…Die Thrombenbildung im Anastomosenbereich stellt auch heutzutage immer noch ein aktuelles und ernstes Problem in der Gefäß-und Koronarchirurgie dar. Die von W. P. Demichow in seiner Arbeit geäußerten Gedanken zur mechanischen Naht erfuhren viele Jahre später in mehreren Publikationen weltweit ihre Bestätigung [6,7]. Die Erfahrungen bei der Verwendung mechanischer Anastomosen zeigen, dass diese die Anastomosierung vereinfachen und das Vorgehen deutlich verkürzen [4].…”

Section: üBer Die Methoden Der Vereinigung Von Blutgefäßenunclassified

Technik der Gefäßanastomose: Ein Blick in die Geschichte der Entwicklung

Rukosujew¹,

Fugmann²,

Hh³

2006

Thorac cardiovasc Surg

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Die Politik des eisernen Vorhangs führte dazu, dass jahrzehntelang in der Medizin kein wissenschaftlicher Informationsaustausch stattfand. Die von dem russischen Biologen W. P. Demichow an Tieren erfolgreich durchgeführten Experimente waren praktisch bis zum Jahr 1962 im Westen nicht bekannt. Die Veröffentlichung seiner Monographie im Jahre 1962 in englischer Sprache "Experimental Transplantation of Vital Organs" belegt die Anerkennung der Erfolge der medizinischen Wissenschaft in Russland [1].

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Five years' world experience with nonpenetrating clips for vascular anastomoses

Cited by 29 publications

References 61 publications

Modern adjuncts and technologies in microsurgery: An historical and evidence‐based review

Modern adjuncts and technologies in microsurgery: An historical and evidence‐based review

Bioabsorbable device for small‐caliber vessel anastomosis

Technik der Gefäßanastomose: Ein Blick in die Geschichte der Entwicklung

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