A comparison of para-anastomotic compliance profiles after vascular anastomosis: Nonpenetrating clips versus standard sutures Mohamed S. Baguneid, FRCSa,

Slides:

Advertisements

Similar presentations

R. L. Varcoe, A. B. P. Teo, M. H. Pelletier, Y. Yu, J. -L. Yang, P. J

Advertisements

Endoleak after aortic stent graft repair: Diagnosis by color duplex ultrasound scan versus computed tomography scan Dean T. Sato, MD, RVT, Charles D.

Natural history, duplex characteristics, and histopathologic correlation of arterial injuries in a canine model Thomas F. Panetta, MD, Clifford M. Sales,

Use of ultrasound contrast in the diagnosis of carotid artery occlusion J.M.Escribano Ferrer, MD, J.Juan Samsó, PhD, J.Royo Serrando, MD, V.Fernández.

Feasibility of transgastric ultrasonography of the abdominal aorta

Ultrasound measurement of the luminal diameter of the abdominal aorta and iliac arteries in patients without vascular disease Ole Martin Pedersen, MD,

Bioengineered vascular access maintains structural integrity in response to arteriovenous flow and repeated needle puncture Bryan W. Tillman, MD, PhD,

Vessel loops made easy Journal of Vascular Surgery

Mohammed Al-Omran, MD, MSc Journal of Vascular Surgery

Technical frontiers for the vascular surgeon: Laser anastomotic welding and angioscopy-assisted intraluminal instrumentation Rodney A. White, M.D. Journal.

Measurement of abdominal aortic aneurysms with three-dimensional ultrasound imaging: Preliminary report Daniel F. Leotta, PhD, Marla Paun, BS, Kirk W.

The comparative evaluation of three-dimensional magnetic resonance for carotid artery disease Donald K. Wilkerson, MD, Irwin Keller, MD, Reuben Mezrich,

Lipoplex gene transfer of inducible nitric oxide synthase inhibits the reactive intimal hyperplasia after expanded polytetrafluoroethylene bypass grafting

Lucas P. Neff, MD, Bryan W. Tillman, MD, PhD, Saami K

A randomized study to evaluate the effect of a perioperative infusion of dopexamine on colonic mucosal ischemia after aortic surgery Mohamed S. Baguneid,

Feasibility of transgastric ultrasonography of the abdominal aorta

Enabling sutureless vascular bypass grafting with the exovascular sleeve anastomosis David W. Chang, MD, Allen Chan, MD, R.Armour Forse, MD, PhD, William.

Asymptomatic internal carotid artery aneurysm

Influence of endothelial cell seeding on platelet deposition and patency in small- diameter Dacron arterial grafts Brent T. Allen, M.D., Julie A. Long,

Comparison of indium 111 oxine—labeled platelet aggregation between sutured and argon laser—assisted vascular anastomoses Roy M. Fujitani, MD, Rodney.

Endoleak after aortic stent graft repair: Diagnosis by color duplex ultrasound scan versus computed tomography scan Dean T. Sato, MD, RVT, Charles D.

Ambulatory venous pressure revisited

Reduction of myointimal hyperplasia after arterial anastomosis by local injection of transforming growth factor β3 Jonathan Ghosh, MD, MRCS, Mohammed.

Favorable scanning electron microscopic findings of stapled saphenous vein–carotid artery anastomoses Mohammad Bashar Izzat, Anthony P.C Yim, MD, Kenny.

Beatrice R. Vesti, MD, Jean Primozich, BS, RVT, Robert O

Lower extremity arterial injury: Results of 550 cases and review of risk factors associated with limb loss H.M. Hafez, PhD, FRCSa, J. Woolgar, FRCSb,

Conformational stress and anastomotic hyperplasia

Remodeling in peripheral vein graft revisions: Serial study with three-dimensional ultrasound imaging Daniel F. Leotta, PhD, Jean F. Primozich, BS, Kirk.

Prediction of rupture risk in abdominal aortic aneurysm during observation: Wall stress versus diameter Mark F. Fillinger, MDa, Steven P. Marra, PhDa,b,

Turbulence occurring after carotid bifurcation endarterectomy: A harbinger of residual and recurrent carotid stenosis Dennis F. Bandyk, M.D., Hermann.

Hiromichi Miwa, MD, Takehisa Matsuda, PhD Journal of Vascular Surgery

Distal internal iliac artery embolization: A procedure to avoid

Wall stress distribution on three-dimensionally reconstructed models of human abdominal aortic aneurysm M.L. Raghavan, PhD, David A. Vorp, PhD, Michael.

In vivo femoropopliteal arterial wall compliance in subjects with and without lower limb vascular disease Nigel R.M. Tai, FRCS, Alberto Giudiceandrea,

Impact of a color-flow duplex surveillance program on infrainguinal vein graft patency: A five-year experience Mirza M. Idu, MD, Jan D. Blankstein, MD,

Dissection of the external iliac artery in highly trained athletes

Fresh venous allografts in peripheral arterial reconstruction in dogs

Vascular complications of cardiac catheterization

Photodynamic therapy of vein grafts: Suppression of intimal hyperplasia of the vein graft but not the anastomosis Glenn M. LaMuraglia, MD, Michael L.

Comparison of color-flow Doppler scanning, power Doppler scanning, and frequency shift for assessment of carotid artery stenosis Martin Müller, MD, Pierra.

Limited B-mode venous imaging versus complete color-flow duplex venous scanning for detection of proximal deep venous thrombosis Roberta Poppiti, BS,

The effects of low-dose radiation on neointimal hyperplasia

Objective tinnitus resulting from internal carotid artery stenosis

The use of an aortoiliac side-arm conduit to maintain distal perfusion during thoracoabdominal aortic aneurysm repair Kenneth Ouriel, MD Journal of.

Changes in arterial wall compliance after endovascular stenting

Tibia fracture after fibula resection for distal peroneal bypass

Transarterial wall oxygen gradients at a prosthetic vascular graft to artery anastomosis in the rabbit Steven M. Santilli, MD, PhD, Shane E. Wernsing,

Does the end-to-end venous anastomosis offer a functional advantage over the end-to- side venous anastomosis in high-output arteriovenous grafts? Mark.

The natural history of microsurgical lymphovenous anastomoses: An experimental study Peter Gloviczki, M.D., Larry H. Hollier, M.D., Frederick E. Nora,

Endothelial cell harvest for seeding vascular prostheses: The influence of technique on cell function, viability, and number Bernard M. Bourke, M.B.B.S.,

Alternative techniques for management of distal anastomoses of aortofemoral and iliofemoral endovascular grafts Reese A. Wain, MD, Ross T. Lyon, MD,

An operative method for surgical revision of a late failure after endovascular repair of an abdominal aortic aneurysm Suhail Anwar, FRCS, Yousif Al-Khattab,

Robert A. Schwartz, M. D. , Gary J. Peterson, M. D. , Kathy A

Duplex ultrasound scanning versus computed tomographic angiography for postoperative evaluation of endovascular abdominal aortic aneurysm repair Yehuda.

Alexander S. Tretinyak, MD, Eugene S. Lee, MD, Kristina M

Initial clinical evaluation of carotid artery laser endarterectomy

Hemodynamics of vein graft stenosis

Richard L. Binns, MD Journal of Vascular Surgery

Ambulatory venous pressure revisited

R. T. A. Chalmers, MB, ChB, FRCSE, A. Y. Synn, MD, J. J

Relapsing melioidosis as cause of iliac mycotic aneurysm: An indigenous case in Taiwan Chwan-yau Luo, MDa, Wen-Chien Ko, MDb, Hsin-Chun Lee, MDb, Yu-Jen.

Follow-up evaluation after renal artery bypass surgery with use of carbon dioxide arteriography and color-flow duplex scanning Timothy R.S. Harward,

Initial human evaluation of argon laser—assisted vascular anastomoses

Argon laser—welded arteriovenous anastomoses

Peripheral arterial embolization: Doppler ultrasound scan diagnosis

Spontaneous thrombosis of iatrogenic femoral artery pseudoaneurysms: Documentation with color Doppler and two-dimensional ultrasonography Joseph P. Johns,

Side-to-side sutureless vascular anastomosis with magnets

Glenn C. Hunter, M.D., Stan N. Carson, M.D.

Use of ultrasound contrast in the diagnosis of carotid artery occlusion J.M.Escribano Ferrer, MD, J.Juan Samsó, PhD, J.Royo Serrando, MD, V.Fernández.

Superficial venous aneurysms of the small saphenous vein

Presentation transcript:

A comparison of para-anastomotic compliance profiles after vascular anastomosis: Nonpenetrating clips versus standard sutures Mohamed S. Baguneid, FRCSa, Sean Goldner, MScb, Paul E. Fulford, FRCSa, George Hamilton, FRCSb, Michael G. Walker, ChM,FRCSa, Alexander M. Seifalian, PhDb Journal of Vascular Surgery Volume 33, Issue 4, Pages 812-820 (April 2001) DOI: 10.1067/mva.2001.112806 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Medium-sized arcuate-legged clips within its applicator (A) and specially designed everting forceps (B). Journal of Vascular Surgery 2001 33, 812-820DOI: (10.1067/mva.2001.112806) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 CCA was imaged with specially adapted duplex color Doppler ultrasound system. Vessel wall movement was followed by tracking assigned points of induced radiofrequency signal deemed to be representative of anterior and posterior arterial walls. Journal of Vascular Surgery 2001 33, 812-820DOI: (10.1067/mva.2001.112806) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Changes in arterial diameter (bottom ) and luminal pressure (top ) were recorded simultaneously. Journal of Vascular Surgery 2001 33, 812-820DOI: (10.1067/mva.2001.112806) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Typical compliance profile around anastomosis demonstrating proximal and distal PHZs. Cref represents compliance of the vessel 20 mm from anastomosis (Ca). Cpeak represents maximum compliance recorded, and the difference between Cpeak and Cref and Ca and Cref is represented as Crise and Closs, respectively. Superscripts P and D denote proximal or distal sites. Journal of Vascular Surgery 2001 33, 812-820DOI: (10.1067/mva.2001.112806) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 5 Comparison of para-anastomotic compliance profiles among anastomoses constructed with clips (CL, top ), interrupted sutures (IS, middle ), and continuous suture (CS, bottom ). Journal of Vascular Surgery 2001 33, 812-820DOI: (10.1067/mva.2001.112806) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 6 View of luminal surface of explanted clipped (A) and interrupted-sutured (B) anastomoses. No intimal penetration was observed when clips were used. However, fibrin and thrombus were seen around sutures. Journal of Vascular Surgery 2001 33, 812-820DOI: (10.1067/mva.2001.112806) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 7 Environmental scanning electron micrographs (original magnification, ×100) of luminal surface of explanted clipped (A) and sutured (B) anastomoses. Good intimal apposition was noted with clips, whereas intimal damage and fibrin were seen around exposed sutures. Journal of Vascular Surgery 2001 33, 812-820DOI: (10.1067/mva.2001.112806) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions