Vascular Closure Stapler Clips Versus Polypropylene Sutures in End-to-End Anastomoses of Growing Arteries and Veins

Angiographic, ultrasonographic, and macroscopic assessment of aortic growth after VCS clips, interrupted polypropylene, or running polyglycolic acid anastomosis

“…This time is enough for aortic vasospasm to disappear. These results are similar to our previously published data in different vascular territories, [7][8][9][10][11].…”

“…As in previous works [7][8][9][10][11], we found statistically significant longitudinal growth in clip-operated arteries (Fig. 4) as well as in the other 3 studied groups (polypropylene, polyglycolic acid, and control).…”

“…No report has been found describing such significant growth after anastomosis. Only in prior studies conducted by our research team have we found comparable growth results [7][8][9][10][11]. Chang et al [14] use polypropylene in growing arteries, describing, in contrast to our experience, the existence of slight vascular stenosis after growth.…”

“…Previous studies (Calles et al [8], Calles-Vázquez [7,[9][10][11], and Lima et al [12]) performed in peripheral arteries and veins have demonstrated that the latest vascular clip applier, the vasular closure stapler (VCS), decreases surgical time and allows longitudinal and transversal growth with correct anastomotic healing without causing any flow disturbance in growing vessels.…”

Safety of transscleral-sutured intraocular lenses in children

“…In addition to its use in the eye, the suture is used in a variety of medical applications, including vascular anastomosis, nerve grafts, coarctation repair, and intestinal anastomosis. [16][17][18] Several recent reports [19][20][21] have indicated that, over time, the 10-0 polypropylene suture can degrade, resulting in spontaneous subluxation of the IOL. The key point emphasized in these articles is that this happens years after implantation, typically 4 to 5 years or later.…”