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U-clip Pilot Study in Plastic Surgery

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ClinicalTrials.gov Identifier: NCT01218269
Recruitment Status : Completed
First Posted : October 11, 2010
Last Update Posted : March 1, 2011
Sponsor:
Information provided by:
Scott and White Hospital & Clinic

Brief Summary:
This study will assess the nitinol U-clip as an alternative to conventional microsurgical suture for arterial anastomoses in free tissue transfer.

Condition or disease Intervention/treatment Phase
Microvascular Anastomoses Device: nitinol u-clip Phase 4

Detailed Description:
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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 25 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Prospective Evaluation of U-clips for Arterial Microvascular Anastomoses
Study Start Date : October 2009
Primary Completion Date : October 2010
Study Completion Date : October 2010

Arm Intervention/treatment
no arms
all patients will receive the treatment - there is only one arms
Device: nitinol u-clip
The U-clip is comprised of nitinol, an alloy of nickel and titanium.
Other Name: Coalescent Surgical U-CLIPTbl



Primary Outcome Measures :
  1. Flap failure rate compared to published rate for conventional suture anastomoses [ Time Frame: will be measured 3 months postoperative (+/- 2 weeks) ]

Secondary Outcome Measures :
  1. Rapid, reproducible, sutureless microvascular arterial anastomoses in free flaps without compromising patient outcomes. [ Time Frame: data collected at 3 months postoperative (+/- 2 weeks) ]


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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • either gender
  • any ethnicity
  • patient requiring free tissue transfer for complex wound coverage or reconstruction
  • patient having arterial anastomotic diameter of at least 2 mm
  • patient capable of giving informed consent

Exclusion Criteria:

  • less than 18 years of age
  • allergy to nitinol or any of its components (nickel or titanium)
  • pregnancy
  • known coagulopathy

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01218269


Locations
United States, Texas
Scott and White Hospital and Clinic
Temple, Texas, United States, 76508
Sponsors and Collaborators
Scott and White Hospital & Clinic
Investigators
Principal Investigator: Raman C Mahabir, MD Scott & White

Responsible Party: Raman Chaos Mahabir, MD, MSc, FRCSC, Scott and White
ClinicalTrials.gov Identifier: NCT01218269     History of Changes
Other Study ID Numbers: SWHospital - 90415
First Posted: October 11, 2010    Key Record Dates
Last Update Posted: March 1, 2011
Last Verified: September 2010

Keywords provided by Scott and White Hospital & Clinic:
anastomoses