End-to-side venous anastomosis with an anastomotic coupling device coupler: The flower petal stenting technique

Comparison of a coupling system and the suture method in end‐to‐side microvascular anastomosis in head and neck reconstruction

“…When using a coupling device, it is difficult to abduct the vessel wall to fix it to the ring (Wang et al, 2018). To solve this, the Double Thread Suspension technique (Zhang et al, 2021) and the flower petal stenting technique (Vitse et al, 2014) have been introduced. In the cross‐incision method we used, it is convenient to use the triangular flap created after incision as a handle and pull it with forceps from the opposite side of the ring.…”

The Multiple-U Technique: A Novel Microvascular Anastomosis Technique That Guarantees Everted Anastomosis Sites with Solid Intima-to-Intima Contact

“…Another method to perform anastomosis with good intima-to-intima contact is using the mechanical coupler, which has been introduced for microvascular anastomosis in head and neck, breast, and extremity reconstruction, [8][9][10][11][12][13][14][15] and has several advantages, including no need for sutures, relatively short anastomosis time, no lumen narrowing, and perfect intima-to-intima contact. However, the mechanical coupler is more expensive compared to sutures and may not be available in all health care institutes.…”

Die venöse End zu Seit Anastomose mit einem Coupler Device bei freien mikrovaskulären Lappenplastiken

“…Vitse empfiehlt dabei die Anzahl der Inzisionen bzw. der Sternenstrahlen der Anzahl der Spikes des Couplers anzupassen [12]. In diesen häufigen Inzisionen sehen wir eine unnötige Verletzung der vulnerablen Venenwände und somit eine erhöhte Gefahr von Rupturen bzw.…”