Randomized clinical trial of continuous sutures or non-penetrating clips for radiocephalic arteriovenous fistula

Zeebregts, Clark J.; Dungen, J.J.A.M. van den; Det, R.J. van; Verhoeven, Eric L.G.; Geelkerken, R.H.; Schilfgaarde, R. van

doi:10.1002/bjs.4719

Cited by 19 publications

(10 citation statements)

References 15 publications

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“…Such interventions include different types of anaesthetic procedures, balloon-assisted maturation, use of devices to connect the artery and the vein, ligation of accessory draining veins, dilatation of the main draining vein or specific surgical techniques to make the anastomosis. Two systematic reviews [36,37] and 16 RCTs assessing eight different interventions were identified [38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53]. One systematic review and meta-analysis included six studies with 870 participants comparing the effects of regional versus local anaesthesia on several AV fistula outcomes [36].…”

Section: Rationale • Backgroundmentioning

confidence: 99%

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Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults

Gallieni

Hollenbeck

Inston

et al. 2019

Nephrology Dialysis Transplantation

105

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Chapter 2. Surgical and endovascular interventions for promoting arteriovenous fistula maturation 2.1. We suggest using regional block anaesthesia rather than local anaesthesia for arteriovenous fistula creation in adults with end-stage kidney disease. (2C) 2.2. We suggest there is insufficient evidence to support endof-vein to side-of-artery over side-of-vein to side-ofartery anastomosis for arteriovenous fistula creation in adults with end-stage kidney disease (2C) peri-and postoperative care of AV fistulas and grafts ii3

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Section: Rationale • Backgroundmentioning

confidence: 99%

“…There were three RCTs that compared clips versus sutures in performing an end-to-side anastomosis for AV fistula creation [47][48][49]. All three found uncertain effects on primary patency or AV fistula maturation.…”

Section: Rationale • Backgroundmentioning

confidence: 99%

Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults

Gallieni

Hollenbeck

Inston

et al. 2019

Nephrology Dialysis Transplantation

105

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show abstract

“…In 2004, Zeebregts reported a further randomized study on 107 radiocephalic fistulas using the same VCS, at that time marketed by Tyco health and Auto Suture Company, and Prolene. This study reported no significant difference in primary and primary‐assisted patency between the two groups …”

Section: Discussionmentioning

confidence: 57%

U Clips for arteriovenous anastomosis: a pilot, randomized study

Walker

2012

ANZ Journal of Surgery

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“…Laser-assisted vessel welding (LAVW) is an experimental technique that is being investigated as an alternative for suturing of end-to-end and end-to-side vascular anastomoses. The use of sutures, which currently comprises the gold standard approach, is associated with several drawbacks, including needle trauma, the introduction of exogenous materials (suture threads), induction of foreign body reactions, and leakage through the anastomosis [1][2][3][4]. Alternative mechanical closures, namely clips and tacks that are commonly used in minimally invasive and robotic cardiothoracic surgery, inflict more pronounced mechanical trauma and are associated with more extensive anastomosis-related bleeding.…”

Section: Introductionmentioning

confidence: 99%

Laser-assisted vascular welding: optimization of acute and post-hydration welding strength

Pabittei

Heger

Simonet

et al. 2015

JCTRes

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Background: Liquid solder laser-assisted vascular welding using biocompatible polymeric scaffolds (ssLAVW) is a novel technique for vascular anastomoses. Although ssLAVW has pronounced advantages over conventional suturing, drawbacks include low welding strength and extensive thermal damage. Aim: To determine optimal ssLAVW parameters for maximum welding strength and minimal thermal damage. Methods: Substudy 1 compared breaking strength (BS) of aortic strips welded with electrospun poly( -caprolactone) (PCL) or poly(lactic-co-glycolic acid) (PLGA) scaffold, 670-nm laser, 50-s single-spot continuous lasing (SSCL), and semi-solid solder (48% bovine serum albumin (BSA)/0.5% methylene blue (MB)/3% hydroxypropylmethylcellulose (HPMC)). Substudy 2 compared the semi-solid solder to 48% BSA/0.5% MB/0.38% genipin and 48% BSA/0.5% MB/3% HPMC/0.38% genipin solder. Substudy 3 compared SSCL to single-spot pulsed lasing (SSPL). Results: PCL-ssLAVW yielded an acute BS of 248.0 ± 54.0 N/cm 2 and remained stable up to 7d of hydration. PLGA-ssLAVW obtained higher acute BS (408.6 ± 78.8 N/cm 2 ) but revealed structural defects and a BS of 109.4 ± 42.6 N/cm 2 after 14 d of hydration. The addition of HPMC and genipin improved the 14-d BS of PLGA-sLAVW (223.9 ± 19.1 N/cm 2 ). Thermal damage was reduced with SSPL compared with SSCL. Keywords:non-invasive vascular surgery cohesive and adhesive bonding coaptation albumin solder polycaprolactone poly(lactic-co-glycolic acid) biomaterial scaffold Conclusions: PCL-ssLAVW yielded lower but more stable welds than PLGA-ssLAVW. The addition of HPMC and genipin to the solder increased the post-hydration BS of PLGA-ssLAVW. SSPL regimen reduced thermal damage. PLGA-ssLAVW using 48% BSA/0.5% MB/3% HPMC/0.38% genipin solder and SSPL constitutes the most optimal welding modality. Relevance for patients: Surgical patients requiring vascular anastomoses may benefit from the advantages that ssLAVW potentially offers over conventional sutures (gold standard). These include no needle trauma and remnant suture materials in the patient, reduction of foreign body reaction, immediate liquid-tight sealing, and the possibility of a faster and easier procedure for minimally invasive and endoscopic anastomotic techniques. D. R. Pabittei et al.

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Randomized clinical trial of continuous sutures or non-penetrating clips for radiocephalic arteriovenous fistula

Abstract: This randomized clinical trial provided further evidence that the use of vascular clips may improve the patency rate of radiocephalic arteriovenous fistulas for haemodialysis.

Cited by 19 publications

References 15 publications

Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults

Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults

U Clips for arteriovenous anastomosis: a pilot, randomized study

Laser-assisted vascular welding: optimization of acute and post-hydration welding strength

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