End-to-end anastomosis between a prosthesis and a vein of different diameters: a technique that maintains a straight vascular axis.

Abstract

In a composite femoropopliteal bypass, the intermediate anastomosis between a vascular prosthesis and the available vein is often difficult to carry out because of a discrepancy of the diameter between the two vessels. The end-to-end anastomosis is performed by working with the elasticity of the venous tissue resulting in anastomotic kinking. A technique keeping the vascular axis straight between two vessels of different diameters and elasticity is presented.