The vascular connector, design of a new device for sutureless vascular anastomosis
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HYPOTHESIS
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The vascular connector, design of a new device for sutureless vascular anastomosis Lulzim Vokrri1*, Xhavit Krasniqi1, Arsim Qavdarbasha1, Nexhmi Hyseni1, Philippe Cinquin2, Paolo Porcu2 and Carmine Sessa2
Abstract Background: In recent years, several methods and new techniques have been studied and proposed for establishment of sutureless vascular anastomoses, streaming use of sutureless vascular surgery in the future. Presentation of the hypothesis: The new vascular connector (NVC) is a hypothetical design of a vascular device, proposed for creation and maintenance of sutureless vascular anastomosis. Implication of NVC would introduce a new device and technique in establishment of sutureless vascular anastomosis in which surgical approach is minimized and so post-operation disorders. It would eliminate need for suture; shorten clampage and operation time, consequently reducing stress for both, the surgeon and the patient. It enables the creation of vascular anastomosis fast, simple, safe, reliable, with satisfactory patency and stability of anastomosis. Testing the hypothesis: Efficacy of NVC needs to be evaluated in further studies, in order to be confirmed for clinical use. The effectiveness of NVC should be verified firstly in vitro and in vivo tests; and by animal experiments. The likelihood of its negative influence in thrombogenicity should be well evaluated. Implications of the hypothesis: Implication of the new vascular connector (NVC) would be of interest to both patients and the surgeon due to the following main achievements: 1) enables the creation of vascular anastomosis fast and simple, 2) significant shortening of clampage time of blood vessels and operation time-this assumption would be followed by reduced risk of operative and post-operative complications and length of hospital stay or admission to Intensive care unit, 3) safe and reliable, 4) compatible with any blood vessel and standard vascular graft, 5) using the NVC we will reduce in minimum need for replaced blood volume, 6) reduces the cost of treatment. It is anticipated that the NVC would provide shorter operation time and least operative and post-operative complications in creation of sutureless vascular anastomosis. Keywords: Sutureless vascular anastomosis, New vascular connector, Vessel circuits
Background The first scientific attempt to restore vessel wall goes back to January 13, 1894, eight years before the description of the suture technique by Carrel. In the New York Medical Journal, R. Abbe has reported the possibility to replace an animal arterial conduit with hourglass shaped glass prosthesis [1]. Sutureless anastomotic devices are of more and more increasing interest in cardiovascular surgery. Since the beginning of cardiovascular surgery, proximal and distal anastomoses have been done with * Correspondence: [email protected] 1 Department of Vascular Surgery, University Clinical Center of Kosovo, Medical Faculty of the University of Pristina, Boulevard “Dëshmoret e Kombit” nn; 10000, Pristina, Republ
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