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This study will assess the nitinol U-clip as an alternative to conventional microsurgical suture for arterial anastomoses in free tissue transfer.
Within Scott & White, a total of 25 free flaps will be performed using U-clips for microvascular anastomoses in lieu of traditional suturing techniques. Each of these free flaps may be in individual patients or two anastomoses may be included in one patient. Historical controls will be used for comparison of complication rates of U-clip versus sutured anastomoses. Postoperatively, the study participants will be evaluated at 2 weeks (+/- 1 week) and at 3 months (+/- 1 month) follow up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| no arms | Other | all patients will receive the treatment - there is only one arms |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| nitinol u-clip | Device | The U-clip is comprised of nitinol, an alloy of nickel and titanium. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Flap failure rate compared to published rate for conventional suture anastomoses | will be measured 3 months postoperative (+/- 2 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Rapid, reproducible, sutureless microvascular arterial anastomoses in free flaps without compromising patient outcomes. | data collected at 3 months postoperative (+/- 2 weeks) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Raman C Mahabir, MD | Scott & White | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Scott and White Hospital and Clinic | Temple | Texas | 76508 | United States |
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