A recent study by Losinski et al (Am J Vet Res 2017; 78 :1338 – 1346) looked at whether plastic clips or metallic clips would have more CT imaging artifact and which would have a greater tensile strength. The study included 10 dog cadavers which had 'cellophane' banding (more accurately thin film banding, as the composition of the material was unknown) placed around the splenic vein and secured using 4 alternating hemostatic clips in accordance with our recommendations. One group received plastic clips whilst the other had metallic clips applied.
The results of the study concluded that as expected the plastic clips did indeed reduce imaging artifact, however the plastic clips failed at a significantly lower tensile load compared to the metallic clips.
It should be noted however that: