The surgery of arteriosclerosis has as one of its major difficulties the technical problem of handling blood vessels which are diseased. Intimal thickening, atherosclerotic plaques, and sometimes calcification involve vessels that must be incised, sutured, and clamped.
Most vascular surgeons would agree that one of the most satisfactory vascular clamps is the surgeon's own thumb and index finger. The vessel may be held with just exactly the right amount of pressure to occlude blood flow with a minimum of damage to the vessel. This well-cushioned clamp is as gentle as possible to the diseased wall, compressing it in its softer portions and yet allowing "give" to the more rigid areas which might otherwise crack or tear. This clamp has, of course, obvious limitations.
The clamp illustrated herein is the result of an effort to duplicate the most pertinent advantages of the surgeon's own fingers. Its essential features are: 1. The
BROWN L. A Vascular Clamp Utilizing Sponge Rubber. Arch Surg. 1961;83(4):645-646. doi:10.1001/archsurg.1961.01300160157020