A technique for reducing the size discrepancy between large reversed veins and small arteries

Autogenous vein remains the conduit of choice for lower extremity revascularization. When a large or dilated vein is used in a reversed manner, there may occasionally be a large size discrepancy between it and a small tibial artery. A technique is presented that reduces this mismatch and facilitates anastomoses between large veins and small arteries.