A new vascular Endostaple: a technical description

AbstractObjective: The purpose of this report is to describe a new vascular Endostapling system. Methods: The vascular Endostapling system can be passed through a 13F insertion sheath that is inserted through the femoral artery. An optical fiber and overlying Endostaple will penetrate a previously inserted endoprosthesis and the aortic wall at whatever points are desired. Once the optical fiber is withdrawn, the Endostaple assumes its preformed shape and acts like a through-and-through wire suture. As tissue ingrowth proceeds, the long-term security and stabilization of the coiled coil mechanism are likely to increase. Conclusions: We think Endostaples can be useful in preventing endograft migration and in treating endoleak at the site of the aortic neck–proximal endograft interface. (J Vasc Surg 2001;34:565-8.

Choledochal cysts--report of three cases and review.

Three cases of choledochal cyst are presented, with a review of previous publications. We re-emphasize the diagnostic dilemma involved and discuss current surgical management. A new complication is illustrated and an association with polycystic kidneys is reported. Choledochal cysts are uncommon, but correct management ensures a symptom-free future for the patient. Recent reports support cyst excision if technically feasible