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CURRENT ISSUEITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

A Journal on Vascular and Endovascular Surgery

Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Scopus

Frequency: Quarterly

ISSN 1824-4777

Online ISSN 1827-1847

 

Italian Journal of Vascular and Endovascular Surgery 2015 June;22(2):61-4

    ORIGINAL ARTICLES

ePTFE suture is an effective tool for vascular anastomosis in kidney transplantation

Franchin M. 1, Tozzi M. 2, Ietto G. 1, Soldini G. 1, Castelli P. 2, Piffaretti G. 2

1 Unit of Vascular Surgery, Department of Surgery and Center for Research on Organ Transplantion, University of Insubria School of Medicine, Circolo University Hospital, Varese, Italy;
2 Unit of General Surgery 1, Department of Surgery and Center for Research on Organ Transplantion, University of Insubria School of Medicine, Circolo University Hospital, Varese, Italy

AIM: We evaluated the impact of the expanded polytetrafluoroethylene (ePTFE) suture on perioperative outcomes in kidney transplantation and compared it to a standard polypropylene (PP) suture.
METHODS: Between January 2011 and December 2013, 130 consecutive kidney transplantations were analyzed. Group A (N.=92, 70.7%) refers to ePTFE suture, and B (N.=38, 29.3%) to PP suture.
RESULTS: Group A showed a significantly lower operative time to complete the vascular anastomosis (minute, 35±3 vs. 40±7, P=0.001) and lower mean blood loss (mL, 140±75 vs. 180±70, P=0.002). Reoperation for bleeding or perirenal hematoma was never required. All blood transfusions were occurred in group B (0% vs. 7.3%, P=0.039). Length of hospitalization did not differ between the two groups (days, 20±5 vs. 19±5; P=0.840). All but 3 (97.7%) patients were available at a mean follow-up of 28.6±9.2 months (range, 4-40). During the follow-up vascular complications including arterial stenosis, pseudoaneurysm or venous thrombosis were not observed in both groups.
CONCLUSION: In our experience, ePTFE was associated with reduced operative time of vascular reconstruction, intraoperative blood loss, postoperative need of transfusions and costs per procedure.

language: English


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