Rapid arterial anastomosis with titanium clips

Emmanouil Pikoulis*, David Burris, Peter Rhee, Toshiya Nishibe, Ari Leppäniemi, David Wherry, Norman Rich

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

36 Scopus citations


BACKGROUND: The obvious advantages of rapid arterial anastomoses have prompted the continuing search for more rapid anastomotic techniques to complement the standard sutured anastomosis. Nonpenetrating, arcuate-legged titanium vascular closure staple (VCS) clips were initially developed for microvascular anastomoses. The purpose of this study was to compare VCS clips with sutured arterial end-to-end anastomosis in larger vessels. METHODS: In 6 pigs, transacted iliac arteries were reanastomosed with VCS clips on one side and continuous 6-0 polypropylene suture on the other. RESULTS: The reconstruction time was 8.4 ± 5.2 minutes for clip closure and 12.0 ± 6.6 minutes for suture closure (P = 0.033). All vessels were patent half an hour after completing the anastomoses with no signs of early thrombosis. CONCLUSIONS: Arterial end-to-end anastomosis can be performed more rapidly with VCS clips than continuous sutures, and are potentially useful in situations where the clamp time of the vessel is critical.

Original languageEnglish
Pages (from-to)494-496
Number of pages3
JournalAmerican Journal of Surgery
Issue number6
StatePublished - Jun 1998
Externally publishedYes


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