A COMPARATIVE STUDY ON MAGNETIC COMPRESSIVE ANASTOMOSIS AND TRADITIONAL HAND-SUTURING TECHNOLOGY IN CANINE FEMORAL ARTERY ANASTOMOSIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LIUShiqi ^1,3 , LEIPeng ⁴ ,  LüYi ¹ , GUANZheng ² , GAORui ⁵ , YAOWeijie ¹ , DANGGuoxin ¹ , LIUYankui ¹

1. Department of Hepatobiliary Surgery School of Medicine, Xi'an Jiaotong University, Xi'an Shaanxi, 710061, P. R. China;
2. Department of Anesthesiology, the First Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an Shaanxi, 710061, P. R. China;
3. Department of Basic Surgery, Northwest Women and Children Hospital;
4. Department of Hepatobiliary Surgery, the First Affiliated Hospital, Ningxia Medical University;
5. Department of Nursing, School of Medicine, Xi'an Jiaotong University, Xi'an Shaanxi, 710061, P. R. China;

Corresponding?author：

LüYi, Email: luyi169@126.com

Keywords：

Femoral artery; Magnetic compressive anastomosis; Vessel anastomosis; Dog

DOI：

10.7507/1002-1892.20140195

Video：

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Objective To investigate the advantages of magnetic compressive anastomosis (MCA) for non-suture femoral artery anastomosis. Methods Twelve adult health mongrel dogs,weighing (16.5±3.6) kg,were selected for in situ end-to-end anastomosis of the femoral artery.One side of the femoral artery was anastomosised with MCA (group A) and the other side of the femoral artery was anastomosised by hand-suturing (group B).The anastomosis time,complications,and vascular bursting pressure were recorded.Gross observation,histological staining (HE and Masson),and scanning electron microscopy observation were performed at 2,4,12,and 24 weeks postoperatively. Results The anastomosis time in group A [(3.89±1.16) minutes] was significantly shorter than that in group B [(14.16±3.72) minutes] (t=14.226,P=0.000).The complication rate of group A (0) was significantly lower than that of group B (75%)(P=0.000).At immediate,4 and 12 weeks after operation,the vascular bursting pressure of anastomosis site in group A was more than 280 mm Hg (1 mm Hg=0.133 kPa),and was (140.11±15.23),(180.31±24.55),and more than 280 mm Hg in group B,showing significant differences at immediate and 4 weeks (P<0.05),but no significant difference at 12 weeks (P>0.05).In group A at 4 weeks,good intima contact,smooth endothelium,and regular arrangement of endothelial cells were observed;at 12 weeks,chronic inflammation was present,with a few lymphocytes infiltration;and at 24 weeks,inflammation significantly decreased.But in group B,obvious suture foreign body and scar formation were observed,which led to uneven surface with lumen incomplete intima,and irregular endothelial cells in arrangement disorder. Conclusion Compared with traditional hand-suturing,the MCA has the advantages of shorter operation time,higher patency rate,less complication,and better healing at the anastomotic site.Non-suture anastomosis of the femoral artery by MCA can achieve reliable results.

Citation： LIUShiqi, LEIPeng, LüYi, GUANZheng, GAORui, YAOWeijie, DANGGuoxin, LIUYankui. A COMPARATIVE STUDY ON MAGNETIC COMPRESSIVE ANASTOMOSIS AND TRADITIONAL HAND-SUTURING TECHNOLOGY IN CANINE FEMORAL ARTERY ANASTOMOSIS. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(7): 885-889. doi: 10.7507/1002-1892.20140195 Copy

1.	Martins PN,Theruvath TP.Detachable cuffs for sutureless microvascular anastomosis.Microsurgery,2007,27(8):678-679.
2.	Schwarz B,Pomaroli A,Hoermann C,et al.Liver transplantation without venovenous bypass:morbidity and mortality in patients with greater than 50% reduction in cardiac output after vena cava clamping.J Cardiothorac Vasc Anesth,2001,15(4):460-462.
3.	康永振,沈中陽.肝移植術后膽道并發癥的相關病因分析.實用器官移植電子雜志,2013,1(4):243-248.
4.	Karakayali H,Boyvat F,Coskun M,et al.Venous complications after orthotopic liver transplantation.Transplant Proc,2006,38(2):604-606.
5.	Puca A,Esposito G,Albanese A,et al.Minimally occlusive laser vascular anastomosis (MOLVA):experimental study.Acta Neurochir (Wien),2009,151(4):363-368.
6.	Esposito G,Rossi F,Puca A,et al.An experimental study on minimally occlusive laser-assisted vascular anastomosis in bypass surgery:the importance of temperature monitoring during laser welding procedures.J Biol Regul Homeost Agents,2010,24(3):307-315.
7.	Levi DS,Danon S,Gordon B,et al.Creation of transcatheter aortopulmonary and cavopulmonary shunts using magnetic catheters:feasibility study in swine.Pediatr Cardiol,2009,30(4):397-403.
8.	鄭精武,都周云,蔣梅燕,等.燒結釹鐵硼在剩磁狀態下的腐蝕研究.稀有金屬材料與工程,2008,37(8):1369-1372.
9.	Gonzales KD,Douglas G,Pichakron KO,et al.Magnamosis Ⅲ:delivery of a magnetic compression anastomosis device using minimally invasive endoscopic techniques.J Pediatr Surg,2012,47(6):1291-1295.
10.	Ganz RA,Peters JH,Horgan S,et al.Esophageal sphincter device for gastroesophageal reflux disease.N Engl J Med,2013,368(8):719-727.
11.	朱永鋒,王立強,楊平,等.β鈦合金研究進展及其在骨科中的應用前景.生物骨科材料與臨床研究,2011,8(4):25-28.
12.	Bloemen A,van Dooren P,Huizinga BF,et al.Randomized clinical trial comparing polypropylene or polydioxanone for midline abdominal wall closure.Br J Surg,2011,98(5):633-639.
13.	程何祥,許旭東,張榮慶,等.恒磁場對C-反應蛋白作用下大鼠內皮祖細胞增殖、凋亡及一氧化氮分泌的影響.中華物理醫學與康復雜志,2009,31(2):88-90.
14.	馮旭陽,徐瑞芬,宋博,等.恒磁場對人臍動脈血管平滑肌細胞胞漿游離鈣離子濃度的影響.西安交通大學學報:醫學版,2008,29(1):19-21,46.
15.	谷涌泉,武欣.3-D打印技術在血管外科的應用.中國修復重建外科雜志,2014,28(3):276-278.

1. Martins PN,Theruvath TP.Detachable cuffs for sutureless microvascular anastomosis.Microsurgery,2007,27(8):678-679.
2. Schwarz B,Pomaroli A,Hoermann C,et al.Liver transplantation without venovenous bypass:morbidity and mortality in patients with greater than 50% reduction in cardiac output after vena cava clamping.J Cardiothorac Vasc Anesth,2001,15(4):460-462.
3. 康永振,沈中陽.肝移植術后膽道并發癥的相關病因分析.實用器官移植電子雜志,2013,1(4):243-248.
4. Karakayali H,Boyvat F,Coskun M,et al.Venous complications after orthotopic liver transplantation.Transplant Proc,2006,38(2):604-606.
5. Puca A,Esposito G,Albanese A,et al.Minimally occlusive laser vascular anastomosis (MOLVA):experimental study.Acta Neurochir (Wien),2009,151(4):363-368.
6. Esposito G,Rossi F,Puca A,et al.An experimental study on minimally occlusive laser-assisted vascular anastomosis in bypass surgery:the importance of temperature monitoring during laser welding procedures.J Biol Regul Homeost Agents,2010,24(3):307-315.
7. Levi DS,Danon S,Gordon B,et al.Creation of transcatheter aortopulmonary and cavopulmonary shunts using magnetic catheters:feasibility study in swine.Pediatr Cardiol,2009,30(4):397-403.
8. 鄭精武,都周云,蔣梅燕,等.燒結釹鐵硼在剩磁狀態下的腐蝕研究.稀有金屬材料與工程,2008,37(8):1369-1372.
9. Gonzales KD,Douglas G,Pichakron KO,et al.Magnamosis Ⅲ:delivery of a magnetic compression anastomosis device using minimally invasive endoscopic techniques.J Pediatr Surg,2012,47(6):1291-1295.
10. Ganz RA,Peters JH,Horgan S,et al.Esophageal sphincter device for gastroesophageal reflux disease.N Engl J Med,2013,368(8):719-727.
11. 朱永鋒,王立強,楊平,等.β鈦合金研究進展及其在骨科中的應用前景.生物骨科材料與臨床研究,2011,8(4):25-28.
12. Bloemen A,van Dooren P,Huizinga BF,et al.Randomized clinical trial comparing polypropylene or polydioxanone for midline abdominal wall closure.Br J Surg,2011,98(5):633-639.
13. 程何祥,許旭東,張榮慶,等.恒磁場對C-反應蛋白作用下大鼠內皮祖細胞增殖、凋亡及一氧化氮分泌的影響.中華物理醫學與康復雜志,2009,31(2):88-90.
14. 馮旭陽,徐瑞芬,宋博,等.恒磁場對人臍動脈血管平滑肌細胞胞漿游離鈣離子濃度的影響.西安交通大學學報:醫學版,2008,29(1):19-21,46.
15. 谷涌泉,武欣.3-D打印技術在血管外科的應用.中國修復重建外科雜志,2014,28(3):276-278.

Chinese Journal of Reparative and Reconstructive Surgery

A COMPARATIVE STUDY ON MAGNETIC COMPRESSIVE ANASTOMOSIS AND TRADITIONAL HAND-SUTURING TECHNOLOGY IN CANINE FEMORAL ARTERY ANASTOMOSIS

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