Microsurgical Reconstruction of the Lower Extremity Using the 3M Microvascular Coupling Device in Venous Anastomoses

Denk, Michael J.; Longaker, Michael T.; Basner, Adam L; Glat, Paul M.; Karp, Nolan S.; Kasabian, Armen K.

doi:10.1097/00000637-199512000-00008

Cited by 29 publications

(37 citation statements)

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“…Several large series have documented the simplicity and dependability of these devices in both end-to-end and end-to-side anastomotic configurations, for use in virtually any territory of the body. [1][2][3][4][5]7,9,10 Venous coupling has several obvious advantages. First, there is considerable time savings versus a sutured anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Routine Use of Microvascular Coupling Device for Arterial Anastomosis in Breast Reconstruction

Spector

Draper

Levine

et al. 2006

Annals of Plastic Surgery

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In our large series, we were able to perform a coupled arterial anastomosis in nearly 80% of the cases, without the loss of any flaps. With proper vessel selection and sufficient experience using the microvascular coupler, arterial coupling may be performed in an expeditious, safe, and reliable fashion with minimal morbidity. Though not commonly practiced, use of the coupling device for arterial anastomosis can provide significant time savings, especially in bilateral breast reconstructions.

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Section: Discussionmentioning

confidence: 99%

Routine Use of Microvascular Coupling Device for Arterial Anastomosis in Breast Reconstruction

Spector

Draper

Levine

et al. 2006

Annals of Plastic Surgery

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“…13,16,17,19 There is a significant body of literature demonstrating faster and easier microanastomoses and a shorter learning curve when these devices are used. 8,11,13,14,[16][17][18][20][21][22]25,33 Statistically similar patency rates have been found as compared to traditional sutured anastomoses. 8,11,[13][14][15][16][17][18][20][21][22][23][24]34 Anastomotic strength has been tested in animal models and found to generally exceed that of traditional anastomoses.…”

Section: Couplermentioning

confidence: 96%

Technology‐assisted and sutureless microvascular anastomoses: Evidence for current techniques

et al. 2011

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Of the available forms of assisted microvascular anastomoses, there is level 2b evidence suggesting a positive outcome with the use of the Unilink™/3M™ coupler and the Autosuture™ VCS® clip applicator. Other techniques such as cyanoacrylates, fibrin glues, the Medtronic™ U-Clip®, and laser bonding have low levels of evidence supporting their use. Further research is required to establish any role for these techniques.

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“…Before approximation, each segment of a vessel is threaded through a ring and circumferentially everted onto the pins, enabling intima-to-intima contact [23]. Usage of the GEM system, which has been widely reported worldwide in the last 20 years, yields higher patency rates, lower failure rates, and more predictable thrombotic risk than conventional methods [456]. …”

Section: Introductionmentioning

confidence: 99%

Vessel Remodeling after Intima-to-Intima Contact Anastomosis

et al. 2017

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BackgroundIntima-to-intima microanastomotic vascular remodeling was explored, utilizing a polylactide-caprolactone absorbable vein coupler model (PAVCM), which was designed to simulate a non-absorbable counterpart system with the sole exception of being absorbable.MethodsSix New Zealand white rabbits were used. After transection of the jugular vein, 2 PAVCMs were placed, 1 at each transected end. The stumps were slipped through the PAVCMs, and the venous wall was everted 90° to achieve intima-to-intima contact. Reanastomosis of the transected jugular vein was performed bilaterally in 3 rabbits. In the other 3 rabbits, the jugular vein (20 mm) harvested from one side was interpositionally grafted to the jugular vein on the opposite side to ease the anastomotic tension. Patency testing, ultrasonography, and histologic assessments were conducted postoperatively at weeks 2, 4, 12, 16, 22, and 26.ResultsAll anastomotic sites were patent, without stenosis, occlusion, or dilatation. In the histologic sections, immature endothelial regeneration was observed at week 2, which was completed by week 4. Regeneration of the tunica media was noted at week 12. Between week 22 and week 26, the tunica media fully regenerated and the coupler dissipated entirely.ConclusionsDespite the absence of a coupler to act as an anastomotic buttress, the structure and function of all the vessels appeared normal, even histologically. These outcomes are true milestones in the development of an absorbable vein coupler.

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Microsurgical Reconstruction of the Lower Extremity Using the 3M Microvascular Coupling Device in Venous Anastomoses

Cited by 29 publications

References 0 publications

Routine Use of Microvascular Coupling Device for Arterial Anastomosis in Breast Reconstruction

Routine Use of Microvascular Coupling Device for Arterial Anastomosis in Breast Reconstruction

Technology‐assisted and sutureless microvascular anastomoses: Evidence for current techniques

Vessel Remodeling after Intima-to-Intima Contact Anastomosis

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