PMID: 11604333Oct 18, 2001Paper

The utility of the VCS clip for creation of vascular access for hemodialysis: long-term results and intraoperative benefits

Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
A F SchildW M Kirsch

Abstract

The purpose of this study was to compare the effectiveness of the VCS vascular clip approximating system for the creation of hemodialysis access fistulas. 173 new vascular accesses were created, 92 prosthetic grafts and 81 autologous fistulas over a 40-month period. 50 sutured and 42 clipped fistulas comprised the prosthetic graft series, and 33 sutured and 48 clipped cases the autologous series. Risk factors associated with access patency were correlated and the primary patencies compared in the suture versus clipped group. A significant improvement in primary patency was noted for the clipped prosthetic group at all time points studied, with a positive trend also noted for clipped autologous fistulae. The vascular clipping system (the VCS system) provides both long-term and immediate advantages for vascular access construction. Clips have been used successfully to treat seven consecutive patients with upper extremity arterial steal syndrome without the technical difficulties associated with traditional methods of repair.

References

Jan 1, 1976·Scandinavian Journal of Urology and Nephrology·O RingdénG Lundgren
Sep 1, 1992·American Journal of Surgery·J L BallardJ M Malone
Jan 1, 1981·Clinical and Experimental Dialysis and Apheresis·A Ebeid, H J Saranchak
Jun 1, 1980·American Journal of Surgery·P KinnaertJ Van Geertruyden
Jan 10, 1998·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·J D DeCaprioG P Clagett
Oct 23, 1998·Journal of the American College of Surgeons·M K LazaridesD N Staamos

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Citations

May 8, 2010·Artificial Organs·Attilio Ignazio Lo Monte, Giuseppe Buscemi
Jun 27, 2006·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Arif AsifFlorin N Gadalean
Aug 22, 2009·Advances in Chronic Kidney Disease·Loay SalmanArif Asif
Nov 11, 2011·Journal of Vascular Surgery·George E SmithIan C Chetter
May 17, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C J Zeebregts
Nov 22, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C P Gibbons
Jun 12, 2004·American Journal of Surgery·Clark J ZeebregtsReinout van Schilfgaarde
Apr 5, 2005·Vascular and Endovascular Surgery·Peter H LinAlan B Lumsden
Mar 9, 2017·Canadian Journal of Kidney Health and Disease·Jennifer M MacRaeUNKNOWN Canadian Society of Nephrology Vascular Access Work Group
Nov 30, 2020·Journal of Vascular Surgery·Samantha TerranellaEdie Chan
May 10, 2017·Annals of Vascular Surgery·Matthew ThomasMonica Hansrani

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