Article

ViPS technique as a novel concept for a sutureless vascular anastomosis.

Clinic of Vascular and Endovascular Surgery, Padova University School of Medicine, Padova, Italy.
Journal of vascular surgery: official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter (impact factor: 3.52). 09/2011; 54(3):889-92. DOI:10.1016/j.jvs.2011.04.005 pp.889-92
Source: PubMed

ABSTRACT To describe a novel technique (Viabhan Padova Sutureless [ViPS]) that connects a vascular prosthetic graft to a target artery in a sutureless fashion.
The patient was a 74-year-old male with complete superficial femoral artery (FA) occlusion and reconstitution of a circumferentially calcified above-knee popliteal artery (ANPA). The proximal end of a surgeon-modified 7-mm Viabahn endoprosthesis was sutured to a 7-mm polytetrafluoroethylene graft (PTFEg). After surgical exposure, the ANPA was transected, and the undeployed distal portion of the Viabahn was inserted, supported by a stiff guidewire. The distal portion of the Viabahn graft was then deployed and ballooned with optimal apposition. Finally, the proximal end of the PTFEg was sutured to the common FA.
Operative time was 60 minutes. Completion angiogram and the computed tomography angiogram at 6 months demonstrated a patent graft.
The ViPS technique provides an alternative for bypass creation when challenging arterial anastomoses are required.

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Keywords

6 months
 
arterial anastomoses
 
bypass creation
 
circumferentially calcified above-knee popliteal artery
 
complete superficial femoral artery
 
Completion angiogram
 
computed tomography angiogram
 
distal portion
 
novel technique
 
Operative time
 
patent graft
 
proximal end
 
PTFEg
 
reconstitution
 
surgical exposure
 
undeployed distal portion
 
vascular prosthetic graft
 
Viabhan Padova Sutureless [ViPS]
 
ViPS technique