A new technique for microvascular sleeve anastomosis.
This study describes our experience using an improved technique for microsurgical sleeve anastomosis of arteries. Modifications of previously described techniques include utilization of a sidecut and placement of the two stitches within separate vertical planes. In 40 arteries, we attained a patency rate of 97.5%. Histology, in vivo observation, and flow study using high-frequency pulsed ultrasound Doppler at 2 hr to 8 weeks demonstrate that the sidecut sleeve anastomosis shows patency and flow characteristics similar to those of standard end-to-end anastomosis, but with a dramatic decrease in operative time.
Zhang
L
L
Microsurgical Research Laboratory, New York University Medical Center, NY.
Tuchler
R E
RE
Shaw
W W
WW
Siebert
J W
JW
D000714:Anastomosis, Surgical / Q000379:methods*; D000818:Animals; D002339:Carotid Arteries / Q000473:pathology / Q000601:surgery; D004730:Endothelium, Vascular / Q000473:pathology; D005263:Femoral Artery / Q000473:pathology / Q000601:surgery; D008297:Male; D008866:Microsurgery / Q000379:methods*; D051381:Rats; D011919:Rats, Inbred Strains; D012039:Regional Blood Flow; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000379:methods*