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An assessment of different types of anastomosis with significant vessel disproportion using thin-walled interposition vein grafts

Authors
Journal
British Journal of Plastic Surgery
0007-1226
Publisher
Elsevier
Publication Date
Volume
42
Issue
5
Identifiers
DOI: 10.1016/0007-1226(89)90040-4

Abstract

Abstract The microvascular anastomosis of vessels with a diameter difference in the range of 3:1 can be a difficult surgical exercise, with the risk of bleeding or thrombosis. Five different techniques for dealing with such asymmetries were investigated in a series of autogenous rabbit vein grafts. An assessment was made of patency rates and of factors involved in the performance of the anastomoses. It is concluded that the end-to-end with oblique cut procedure is the most suitable for the clinical situation.

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