Advancement on the alexis carrel technique: A practical alternative for continuous end-to-end vascular anastomosis

Since description of the first vascular anastomosis techniques pioneered by Alexis Carrel, vascular reconstructive techniques have undergone several advancements. The traditional three-point "Alexis" technique for and end-to-end anastomosis remains a textbook description of an ideal anasto...

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Bibliographic Details
Published in:Indian Journal of Vascular and Endovascular Surgery 2021-10, Vol.8 (4), p.363-365
Main Authors: Singla, Animesh, Kotecha, Krishna
Format: Article
Language:English
Subjects:
Anastomosis
Blood vessels
Methods
Surgery
Surgical anastomosis
surgical technique
transplant
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Summary:Since description of the first vascular anastomosis techniques pioneered by Alexis Carrel, vascular reconstructive techniques have undergone several advancements. The traditional three-point "Alexis" technique for and end-to-end anastomosis remains a textbook description of an ideal anastomosis, especially in microsurgery. In clinical practice, dissection extent, vessel mobility, and timing can limit the applicability for daily use. We describe a more intuitive procedure, using common vascular techniques of parachuting and growth factor inclusion to achieve a technically perfect end-to-end anastomosis. In particular, the usual limitations of the "Alexis" technique do not limit this procedure making it easily learnable and reproducible.
ISSN:0972-0820
2394-0999
DOI:10.4103/ijves.ijves_76_21