Clinical application of vascular closure staple clips for blood access surgery

Hiroaki Haruguchi, Yoshihiko Nakagawa, Yasuko Uchida, Junichiro Sageshima, Shohei Fuchinoue, Tetsuzo Agishi

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

We investigated the usefulness of nonpenetrating titanium vascular closure staple (VCS) clips developed for anastomosis of peripheral blood vessels. VCS clip applier systems (Autosuture; United States Surgical Corporation, Norwalk, CT) were used for 10 patients on hemodialysis who needed peripheral vascular anastomoses for blood access. Two arteriovenous (AV) fistulas, one closure of a fistula with reconstruction of the radial artery, six vascular graft implantations, and one vascular graft closure were performed. Medium clips were used for AV fistulas and large clips for vascular graft implantation. It took 12 min, on average, for vascular access graft anastomoses and 8.5 min, on average, for the AV fistulas. In two patients, bleeding from the anastomosed site occurred after declamping and additional sutures were required; however, neither hematoma nor wound infection occurred at 9 to 12 months after surgery. In one patient, stenosis of the graft-venous junction was found and was successfully treated by percutaneous transluminal angioplasty. The VCS clip applier is easy to manipulate, is as safe as hand-suture methods, and has time saving potential. We conclude that these VCS clips are useful for vascular anastomoses of blood access.

Original languageEnglish
JournalASAIO Journal
Volume44
Issue number5
StatePublished - Sep 1 1998

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Surgical Instruments
Grafts
Surgery
Blood Vessels
Blood
Transplants
Arteriovenous Fistula
Blood vessels
Titanium
Sutures
Radial Artery
Wound Infection
Angioplasty
Hematoma
Industry
Fistula
Renal Dialysis
Pathologic Constriction
Hand
Hemorrhage

ASJC Scopus subject areas

  • Biophysics
  • Bioengineering

Cite this

Haruguchi, H., Nakagawa, Y., Uchida, Y., Sageshima, J., Fuchinoue, S., & Agishi, T. (1998). Clinical application of vascular closure staple clips for blood access surgery. ASAIO Journal, 44(5).

Clinical application of vascular closure staple clips for blood access surgery. / Haruguchi, Hiroaki; Nakagawa, Yoshihiko; Uchida, Yasuko; Sageshima, Junichiro; Fuchinoue, Shohei; Agishi, Tetsuzo.

In: ASAIO Journal, Vol. 44, No. 5, 01.09.1998.

Research output: Contribution to journalArticle

Haruguchi, H, Nakagawa, Y, Uchida, Y, Sageshima, J, Fuchinoue, S & Agishi, T 1998, 'Clinical application of vascular closure staple clips for blood access surgery', ASAIO Journal, vol. 44, no. 5.
Haruguchi H, Nakagawa Y, Uchida Y, Sageshima J, Fuchinoue S, Agishi T. Clinical application of vascular closure staple clips for blood access surgery. ASAIO Journal. 1998 Sep 1;44(5).
Haruguchi, Hiroaki ; Nakagawa, Yoshihiko ; Uchida, Yasuko ; Sageshima, Junichiro ; Fuchinoue, Shohei ; Agishi, Tetsuzo. / Clinical application of vascular closure staple clips for blood access surgery. In: ASAIO Journal. 1998 ; Vol. 44, No. 5.
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