Microvascular anastomosis using the vascular closure device in free flap reconstructive surgery: A 13-year experience

Reddy, Chaitan; Pennington, David; Stern, Harvey

doi:10.1016/j.bjps.2011.08.041

Cited by 16 publications

(8 citation statements)

References 12 publications

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“…Nonpenetrating devices, such as staple and double-ring couplers, have recently displayed excellent results in extended clinical series. [1][2][3] The microvascular anastomotic coupler system (Synovis Micro Companies Alliance, St. Paul, MN, USA), which was initially developed by Ostrup and Berggren,4,5 has demonstrated repeated efficiency with regard to speed and the maintenance of a low thrombosis rate during venous anastomosis. [6][7][8] However, few clinical series have provided specific details regarding the flaps, anastomotic times and coupler sizes used.…”

mentioning

confidence: 99%

Venous coupler use for free‐flap breast reconstructions: Specific analyses of TMG and DIEP flaps

Bodin¹,

Brunetti²,

Dissaux³

et al. 2014

Microsurgery

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confidence: 99%

Venous coupler use for free‐flap breast reconstructions: Specific analyses of TMG and DIEP flaps

Bodin¹,

Brunetti²,

Dissaux³

et al. 2014

Microsurgery

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“…Many researches were done to fi nd this technique [8,9]. Clips and staples were used as alternative to suture anastomosis technique which suitable to big vessels and with less advantages [10,11]. Glue and adhesives substances as cyanoacrylates and thrombinbased (fi brin-glues) with some success and complications as thrombus formation [12].…”

Section: Discussionmentioning

confidence: 99%

Closed removable thread vascular anastomosis stent (Lasheen Vascular Stent)

Lasheen¹

2019

J Surg Surgical Res

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Background: Vascular anastomosis is a most common and important part of many reconstructive transplant procedures. Venous anastomosis can be done by using coupling devices. In arterial anastomosis still the suture method is the main method, which is time consuming, need much experience, and associated by many complications specially with small arteries (microanastomosis). This study offers new type of stent (Lasheen vascular stent) for vascular anastomosis.Methods: This experimental study included 7 Egyptian native dogs. Under general anesthesia, the femoral artery was exposed and cut, then re-anastomosis by using thread vascular stent of suitable caliber. Where one end of stent passed from the lumen of distal end of femoral artery and passed through the tissue to appear on skin. Other end of stent passed from the lumen of proximal end of femoral artery through the tissue to appear on skin. Four sutures were taken to approximate two femoral ends on stent. Then, the wound closed in its layers with stent in its position and both stent ends were fi xed on skin. After, two weeks the stent was removed by traction on both stent ends to change the stent to thread and come out of body. Results:The mean time to put the stent in right position was 10 minutes. The prophylactic dose of antithrombotic drug given for three days and antiplatelet aggregation drug for 15 days. All anastomosis were clearly patent by clinical observation and duplex scanning if needed during period of follow up (3 months). No leakage during procedure or hematoma after stent removal were observed. Conclusion:Lasheen vascular stent for vascular anastomosis is rapid , less time consumed, has short learning curve and good results, and with no special complications.Citation: Lasheen AE (2019) Closed removable thread vascular anastomosis stent (Lasheen Vascular Stent). J Surg Surgical Res 5(2): 071-073.

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“…With vessel suturing there is penetration and therefore exposure of the subendothelial matrix to the blood stream resulting in inflammatory changes and intimal hyperplasia. 10,12 In addition, in Vitro studies have demonstrated superior tensile strengths with clipped anastomoses vs sutured, and improved para-anastomotic compliance. 7,15,18,24 Interestingly, compared with traditional suturing techniques, the risk of anastomotic failure using the VCS titanium clip technique may be lower, or at least similar according to animal and human cadaveric studies.…”

Section: Discussionmentioning

confidence: 99%

“…12 Despite the many advantages of VCS titanium clips, their main benefit is in their time-saving effect in vascular closure. 2,10,11,[16][17][18]22,24,[27][28][29][30] In a study by Cope et al, 29 the time it took for vascular anastomosis using VCS titanium clips was less than 5 min. Pikoulis et al, 31 also reported a series of arteriotomy cases that were closed using the VCS titanium clip technique resulting in significant reduction in closure time compared to conventional suturing.…”

Section: Discussionmentioning

confidence: 99%

“…The application of vascular closure staple (VCS) clips made of titanium, originally developed for microvascular anastomoses, is a great alternative method for primary vessel repair offering faster arteriotomy closure and reduced vessel clamp time while arguably maintaining superior histological and flow qualities compared to suture closure. [1][2][3][4][5][6][7][8][9][10] Also, closure, with VCS titanium clips is a relatively simple technique with a shallow learning curve that is quick and easy to implement in emergent situations. 11 Herein, we describe the use of this simple technique in 2 cases requiring primary middle cerebral artery (MCA) vessel closures following emergent arteriotomy for retrieval of dislodged endovascular coil material.…”

mentioning

confidence: 99%

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