Techniques of Vascular Repair

Several techniques are used for vascular repair. Best results are usually achieved with familiar techniques. Four techniques are described below:

• End-to-end anastomosis, 180-degree technique

• End-to-side anastomosis

• End-to-end anastomosis, 120-degree technique

• End-to-end anastomosis, “back-wall-first” technique

Fig. 10.1 End-to-end anastomosis, 180-degree technique. (a) Two corner sutures are placed 180 degrees apart (1,2). A third stitch (3) is placed equidistant from stitches 1 and 2. Stitches 4 through 7 complete the front wall sutures. (b) The vessel is then flipped over, and a stitch is placed in position 8. Sutures 9 through 12 complete the procedure.