Arterio-venous fistula using nonpenetrating titanium clips (VCS)

Area of Science:

• Vascular Surgery
• Nephrology
• Biomedical Engineering

Background:

• Vascular access is critical for hemodialysis but faces high morbidity rates.
• Neointimal hyperplasia and thrombosis are primary causes of vascular access failure.
• This study evaluates a novel technique for arteriovenous fistula creation.

Observation:

• A 47-year-old male with end-stage renal disease (ESRD) underwent reintervention for a failed radio-cephalic fistula.
• An arteriovenous fistula was created using non-penetrating titanium clips (Anastoclip VCS) between the brachial artery and median cubital vein.
• The procedure was completed in 17 minutes with immediate, satisfactory vascular anastomosis.

Findings:

• The Anastoclip VCS system facilitated a rapid and successful arteriovenous anastomosis.
• Postoperative recovery was uneventful, with the fistula remaining functional for 60 months.
• The system demonstrated versatility and ease of manipulation.

Implications:

• Non-penetrating clips may reduce postoperative complications in arteriovenous fistula creation.
• This technique holds potential for extending arteriovenous fistula patency in ESRD patients.
• The Anastoclip VCS system presents a promising solution for durable vascular access.