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A new technique for microvascular sleeve anastomosis

✍ Scribed by Ling Zhang; Robert E. Tuchler; William W. Shaw; John W. Siebert


Publisher
John Wiley and Sons
Year
1991
Tongue
English
Weight
373 KB
Volume
12
Category
Article
ISSN
0738-1085

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✦ Synopsis


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.


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