Abstract
The surgical principles governing venous reconstruction remain uncertain in contrast to the standardized principles of arterial corrective surgery. The technical difficulties attending venous reconstructions, their potential for complicating thromboembolism, and poor surgical outcome are directly related to the biological response of veins to needle-and-suture. A new method for venous reconstruction, predicated on intimai nonpenetration and flanged eversion, exhibits technical and physiologic advantages over conventional suture.
Venous reconstruction with the nonpenetrating clip is equivalent to or superior to suture by trials in the surgical laboratory and clinic. The clip has been tested with the following venous reconstructions: end-to-end, end-to-side, arterial interpositional venous grafts, vascular access procedures, and free flap transfers. Long- and short-term patency rates, blood flow rate and characteristics of intimal repair, and mechanical properties of the flanged anastomoses (burst and tensile strength) have been determined. Details of this new surgical technique, the histological and physical properties of the flanged venous anastomoses, and clinical experiences are described.
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Zhu, Y.H., Kirsch, W.M. (1992). A New Surgical Technique for Venous Reconstruction: The Nonpenetrating Clip. In: Chang, J.B. (eds) Modern Vascular Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2946-9_37
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DOI: https://doi.org/10.1007/978-1-4612-2946-9_37
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