Sutureless microvascular anastomosis assisted by an expandable shape-memory alloy stent

Noriko Saegusa, Shunji Sarukawa, Kunihiro Ohta, Kensuke Takamatsu, Mitsuhiro Watanabe, Takashi Sugino, Masahiro Nakagawa, Yasuto Akiyama, Masatoshi Kusuhara, Kazuo Kishi, Keita Inoue

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Vascular anastomosis is the highlight of cardiovascular, transplant, and reconstructive surgery, which has long been performed by hand using a needle and suture. However, anastomotic thrombosis occurs in approximately 0.5–10% of cases, which can cause serious complications. To improve the surgical outcomes, attempts to develop devices for vascular anastomosis have been made, but they have had limitations in handling, cost, patency rate, and strength at the anastomotic site. Recently, indwelling metal stents have been greatly improved with precise laser metalwork through programming technology. In the present study, we designed a bare metal stent, Microstent, that was constructed by laser machining of a shape-memory alloy, NiTi. An end-to-end microvascular anastomosis was performed in SD rats by placing the Microstent at the anastomotic site and gluing the junction. The operation time for the anastomosis was significantly shortened using Microstent. Thrombus formation, patency rate, and blood vessel strength in the Microstent anastomosis were superior or comparable to hand-sewn anastomosis. The results demonstrated the safety and effectiveness, as well as the operability, of the new method, suggesting its great benefit for surgeons by simplifying the technique for microvascular anastomosis.

Original languageEnglish
Article numbere0181520
JournalPLoS One
Volume12
Issue number7
DOIs
Publication statusPublished - 2017 Jul 1

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

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    Saegusa, N., Sarukawa, S., Ohta, K., Takamatsu, K., Watanabe, M., Sugino, T., Nakagawa, M., Akiyama, Y., Kusuhara, M., Kishi, K., & Inoue, K. (2017). Sutureless microvascular anastomosis assisted by an expandable shape-memory alloy stent. PLoS One, 12(7), [e0181520]. https://doi.org/10.1371/journal.pone.0181520