Sutureless vascular anastomotic approaches and their potential impacts

作     者：Joseph G.Ribaudo Kevin He Sarah Madira Emma R.Young Cameron Martin Tingying Lu Justin M.Sacks Xiaowei Li 

作者机构：Division of Plastic and Reconstructive SurgeryDepartment of SurgeryWashington University in St.LouisMO63110USA Department of Plastic SurgeryJohns Hopkins School of MedicineBaltimoreMD21287USA 

出 版 物：《Bioactive Materials》 (生物活性材料（英文）)

年 卷 期：2024年第38卷第8期

页      面：73-94页

核心收录：

学科分类：080901[工学-物理电子学] 0809[工学-电子科学与技术（可授工学、理学学位）] 08[工学] 080401[工学-精密仪器及机械] 0804[工学-仪器科学与技术] 0803[工学-光学工程] 

基　　金：funding support received from the Institute of Materials Science and Engineering,and the Institute of Clinical and Translational Sciences grant UL1TR002345 from the National Center for Advancing Translational Sciences of the NIH,DoD Peer Reviewed Medical Research Program Discovery Award(HT94252310022 to Li and Sacks) Traumatic Brain Injury and Psychological Health Research Program Idea Development Award(W81XWH-22-1-0785 to Li) NIH R01HL168513(Li) 

主　　题：Vascular Anastomotic device Tissue adhesive Patency OUTLINE 

摘      要：Sutureless anastomotic devices present several advantages over traditional suture anastomosis,including expanded global access to microvascular surgery,shorter operation and ischemic times,and reduced ***,their adaptation for arterial use remains a *** review aims to provide a comprehensive overview of sutureless anastomotic approaches that are either FDA-approved or under *** approaches include extraluminal couplers,intraluminal devices,and methods assisted by lasers or vacuums,with a particular emphasis on tissue *** analyze these devices for artery compatibility,material composition,potential for intimal damage,risks of thrombosis and restenosis,and complications arising from their deployment and ***,we discuss the challenges faced in the development and clinical application of sutureless anastomotic ***,a sutureless anastomotic device or technique should eliminate the need for vessel eversion,mitigate thrombosis through either biodegradation or the release of antithrombotic drugs,and be easily deployable for broad *** transformative potential of sutureless anastomotic approaches in microvascular surgery highlights the necessity for ongoing innovation to expand their applications and maximize their benefits.