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[Hemodynamic changes of microvascular anastomosis with nitinol clips]
Yong Kuang1, Jian-xing Song, En-tan Guo
1Department of Plastic Surgery, the 2nd Military Medical University, Shanghai, P. R. China 200433.
Objective:
To investigate the hemodynamic changes of the end-to-end anastomosed arteries with nitinol clips.
Methods:
Fifteen New Zealand rabbits were divided into anastomosis clip group, suture group and control group randomly. The carotid arteries were resected and end-to-end anastomosis were carried out with nitinol clips in anastomosis clip group and with traditional suture in suture group. The carotid arteries remained undamaged in control group. On the days of 3, 9, 21 and 30 postoperatively, mean blood velocity (Vm), pulsatility index (PI) and resistance index (RI) of anastomosed arteries were determined by Ultrasonography Doppler.
Results:
On the days of 8 and 9 postoperatively, there were no significant differences of VM, PI and RI between two experimental groups (P > 0.05). On the days of 20 and 30 postoperatively, the differences of Vm and RI were significant (Vm: P < 0.01, P < 0.05: RI: P < 0.01, P < 0.05). The hemodynamic restoration of the anastomosis clip group was better than that of the suture group.
Conclusion:
The hemodynamics of arteries anastomosed with nitinol clips is better than that with traditional suture. This technique has practical value clinically.