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Each fragment included two collaterals at least 2\u00a0mm in diameter. One of them was sealed by ligation with 3\/0 silk ties (control) and the other one with EB (<jats:italic>n<\/jats:italic>\u2009=\u200910), HS (<jats:italic>n<\/jats:italic>\u2009=\u200910) or medium\u20106\u00a0mm SC (<jats:italic>n<\/jats:italic>\u2009=\u200910). After incorporation in a closed circuit with pulsatile flow, the pressure was progressively increased until causing rupture. Collateral diameter, burst pressure, leak point, and histological study were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Burst pressure was higher for SC (1320.20\u2009\u00b1\u2009373.847\u00a0mmHg) as compared with EB (942.2\u2009\u00b1\u2009344.9\u00a0mmHg, <jats:italic>p<\/jats:italic>\u2009=\u20090.065), and especially with HS (637.00\u2009\u00b1\u2009320.61\u00a0mmHg, <jats:italic>p<\/jats:italic>\u2009=\u20090.0001). No statistically significant difference between EB and HS was found, and bursting always happened at supraphysiological pressures. The leak point for HS was always detected in the sealing zone (10\/10), while for EB and SC, it occurred in the sealing zone only in 6\/10(60%) and 4\/10(40%), respectively (<jats:italic>p<\/jats:italic>\u2009=\u20090.015).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Energy delivery devices showed similar efficacy and safety in sealing of SV side branches. Although bursting pressure was lower than with tie ligature or SC, non\u2010inferiority efficacy was shown at the range of physiological pressures in both, EB and HS. Due to their speed and easy handling, they may be useful in the preparation of the venous graft during revascularization surgery. However, remaining questions about healing process, potential spread of tissue damage and sealing durability, will require further analysis.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-023-07107-0","type":"journal-article","created":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T12:01:50Z","timestamp":1689076910000},"page":"2888-2896","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cIn Vitro\u201d Evaluation of Energy\u2010Based Sealing of Graft Side Branches in Bypass Surgery"],"prefix":"10.1002","volume":"47","author":[{"given":"Manuel","family":"Miralles","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery Hospital Universitari i Polit\u00e8cnic La Fe Valencia Spain"},{"name":"Department of Surgery Facultad de Medicina Universidad de Valencia (UV) Valencia Spain"},{"name":"Hemostasia, Thrombosis Arteriosclerosis and Vascular Biology Instituto de Investigaci\u00f3n 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