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首页> 外文期刊>Surgical Endoscopy >Study comparing sutures and nonpenetrating titanium clips for arteriotomy closure after embolectomy.
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Study comparing sutures and nonpenetrating titanium clips for arteriotomy closure after embolectomy.

机译：研究比较了栓塞切除术后缝合线和非穿透性钛夹在动脉切开术中的应用。

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BACKGROUND: The vascular closure staple (VCS) clip applier system is an alternative to suture for closing arteriotomies and performing vascular anastomoses. This study was designed to evaluate the possible advantages of its use in closing arteriotomies after embolectomy. METHODS: In this study, 26 patients with upper or lower extremity embolism underwent embolectomy, and the arteriotomy was closed using either VCS clips (group A) or sutures (group B). RESULTS: The time required for arteriotomy closure with clips (11.2 +/- 2.7s) was considerably shorter than the time required with sutures (241.2 +/- 48.7s; p < 0.0001), resulting also in shorter clamp times (380.8 +/- 127.3s vs 612.7 +/- 112.6 s; p < 0.0001). No hemodynamically significant stenoses or pseudoaneurysms were detected at the arteriotomy sites in any of the patients up to 1 year after embolectomy. CONCLUSIONS: The VCS clip applier system, a quick and easy method for closing arteriotomies, is as safe as sutures in terms of narrowing of the artery and formation of pseudoaneurysm.
机译：背景：血管闭合吻合钉（VCS）施夹器系统是缝合线的另一种选择，用于闭合动脉切开术和进行血管吻合术。这项研究旨在评估栓塞切除术后在封闭动脉切开术中使用其可能的优势。方法：在本研究中，对26例上肢或下肢栓塞患者进行了栓塞切除术，并使用VCS夹（A组）或缝合线（B组）闭合了动脉切开术。结果：用夹子闭合动脉切开术所需的时间（11.2 +/- 2.7s）大大短于使用缝线缝合所需的时间（241.2 +/- 48.7s; p <0.0001），从而也缩短了夹紧时间（380.8 + / -127.3s和612.7 +/- 112.6 s; p <0.0001）。在栓塞切除术后长达1年的任何患者中，在任何动脉切开处均未检测到血液动力学显着的狭窄或假性动脉瘤。结论：VCS夹钳系统是一种快速简便的闭合动脉切开术，在动脉变窄和假性动脉瘤形成方面与缝合线一样安全。

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