Carotid arteriotomy closure using a vascular clip system

Neurosurgery
J M Findlay, Joseph F Megyesi

Abstract

To compare a newly released vascular clip system (Vascular Clip-applier System; Auto Suture Company, Norwalk, CT) designed for sutureless vessel closures and anastomoses with standard suture closure of carotid arteriotomies after carotid endarterectomies. Sixteen consecutive patients with symptomatic and severe carotid stenoses were randomly allocated to receive either standard suture (running 6-0 monofilament) or clip artery closures after undergoing carotid endarterectomies. The speed of arteriotomy closure was calculated for each procedure, and hemostasis, complications, and postoperative carotid patency were determined and recorded for each patient. The clip applier system performed well, and arteriotomy closure with clips was significantly faster than suture closure (0.36 cm/min in the sutured group versus 0.52 cm/min in the clipped group, P = 0.019). Carotid patency assessed by ultrasonography 4 to 8 weeks after surgery showed that all arteries in both groups were patent. Two hemostasis problems occurred in the clip closure group, one minor that was caused by the use of incorrect clip size and one major that was probably caused by a combination of sudden arterial hypertension and clip failure. This complication resulted i...Continue Reading

References

May 1, 1993·Neurosurgery·J M Findlay, W M Lougheed
Jan 1, 1993·Skull Base Surgery·W M KirschD Furnas

❮ Previous
Next ❯

Citations

Mar 13, 2018·Operative Neurosurgery·Hassan SaadAli F Krisht

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.

Related Papers

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
Lefeng QuYuqi Wang
Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
V ScavéeJ C Schoevaerdts
© 2022 Meta ULC. All rights reserved