Criteria for vascular anastomosis devices assessment
As it has been illustrated in the previous chapters, there is a great variety of sutureless anastomosis devices and each of these is based on original principles and has its pros and cons. All have been judged safe and consistent and all show excellent experimental long-term results. For those being the object of clinical studies, preliminary results are very promising. In other words, all the presented devices can potentially succeed and replace the standard suture technique. However, new generations of connectors have introduced new issues to be evaluated including overloading, double loading, skiving of aortic punch, variations in operative techniques and graft movement. Therefore, it is not that easy to establish whether a sutureless device is a valid and safe alternative to suture technique and if it can be widely used.
KeywordsPatency Rate Original Principle TIMI Flow Grade Double Loading Premarket Approval
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