Clinical Studies

General

Intimal Injury of Ultrasonically Skeletonized Internal Thoracic Artery by a Vessel Clamp: Morphological Analysis

Excerpt: "[A] vessel clamp which protects the intima should be used for temporary clamping. With this objective in mind, we therefore recommend the use of a fibrous jaw clamp for the temporary clamping of an ultrasonically skeletonized ITA."

Reference: Yoshikai M, Itoh T, Kamohara K, Yunoki J, Fumoto H. Intimal injury of ultrasonically skeletonized internal thoracic artery by a vessel clamp: morphological analysis. <em>Interact Cardiovasc Thorac Surg.</em> 2007;6(3):331-334. doi:10.1510/icvts.2006.145367

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Human Mammary Artery Endothelial Sparing With Fibrous Jaw Clamping

Excerpt: "Foam silicone with nylon fibrils on the jaw surface of internal mammary artery clamps preserves endothelial cell function and integrity. The remaining undamaged cells also may facilitate the subsequent regeneration of a confluent endothelial cell layer."

Reference: Fonger JD, Yang XM, Cohen RA, Haudenschild CC, Shemin RJ. Human mammary artery endothelial sparing with fibrous jaw clamping. <em>Ann Thorac Surg.</em> 1995;60(3):551-555. doi:10.1016/0003-4975(95)00448-T

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Impaired Relaxation of the Human Mammary Artery After Temporary Clamping

Excerpt: "These data suggest that soft jaw clamps significantly reduce the degree of vasoactive dysfunction compared with hard jaw clamps. In addition, soft jaw clamps produce fewer morphologic changes in the human mammary artery after temporary occlusion."

Reference: Fonger JD, Yang XM, Cohen RA, Haudenschild CC, Shemin RJ. Impaired relaxation of the human mammary artery after temporary clamping. <em>J Thorac Cardiovasc Surg.</em> 1992;104(4):966-971.

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Assessment of Transmural Force During Application of Vascular Occlusive Devices

Excerpt: "Intimal injury may determine success or failure of vascular surgical procedures; therefore it is prudent to seek the least traumatic means of vascular occlusion."

Reference: Moore WM Jr, Bunt TJ, Hermann GD, Fogarty TJ. Assessment of transmural force during application of vascular occlusive devices. <em>J Vasc Surg.</em> 1988;8(4):422-427.

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