A comparison by burst testing of three types of vascular anastomosis

A new in vivo test for burst strength of arterial anastomoses was tested in 40 rats. Twelve had a severed right femoral artery reanastomosed by the traditional nine-suture technique. In a second group of 12, a modified telescoping sleeve method of reanastomosis was used. In a third group of 12, a laser-assisted anastomosis using four stay sutures was performed. Four rats had sham procedures. Immediately after reanastomosis three vessels from each group plus all four sham surgical vessels were subjected to burst testing. These tests were performed again on the repaired vessels at 1 week, 1 month, and 2 months. All the vessels were patent at burst testing. All repairs held at all times to greater than 160 mm mean arterial pressure. The four-suture telescopic anastomosis technique was consistently strongest over time, but all techniques showed adequate strength at all time intervals.