Image| Volume 57, P16, 2022

Stitching at a Good Clip: A Renewed Look at Stapled Vascular Anastomoses

Open AccessPublished:November 16, 2022DOI:
      Stapled vascular anastomoses are recognised to reduce neointimal hyperplasia and thus anastomotic stenosis following renal access surgery but are not often used beyond this scope. They can be useful in reducing suturing time in some typical anastomoses, especially when a long suture line is anticipated, exemplified here by a simple patch used during femoral endarterectomy with profundaplasty (A) or a more elaborate Y patch used to extend from the common femoral (CFA) to both the superficial femoral (SFA) and profunda femoris (PFA) arteries (B). It is important to use the smaller but more secure medium sized clips (rather than the large sized ones that are too loose in this scenario), exemplified here using the AnastoClip AC System (Le Maitre Vascular, Hereford, UK). The curved sections and apices of the anastomoses are typically sutured with polypropylene, while the straight sections are then anastomosed using the clips, taking care to evert the edges.


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