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Systematic review: anastomotic microvascular device.

B Ardehali¹, A N Morritt¹, A Jain²

¹Imperial College Healthcare NHS Trust, Charing Cross Hospital, Plastic & Reconstructive Surgery Department, Fulham Palace Road, London W6 8RF, United Kingdom.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|March 18, 2014

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The venous coupler device significantly enhances microsurgery outcomes, achieving a high 98.5% patency rate in venous anastomoses. This microvascular device demonstrates less thrombosis variation compared to traditional hand-sewn methods.

Area of Science:

Microsurgery
Vascular Surgery
Biomedical Engineering

Background:

The use of anastomotic microvascular devices has increased in reconstructive microsurgery over the past 20 years.
A systematic review was conducted to evaluate the venous coupler device's effectiveness in microsurgery.

Purpose of the Study:

To assess the impact of the venous coupler device on the patency rate in microsurgery.
To compare the thrombosis rate of venous coupler devices with hand-sewn venous anastomoses.

Main Methods:

A systematic literature search was performed using relevant keywords across major databases.
Articles were screened in two levels, with 13 studies meeting the criteria for final analysis.
Data from 2976 venous anastomoses using the coupler device were analyzed.

Keywords:

3M anastomotic device Anastomotic device Microsurgery Unilink Venous coupler

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Main Results:

The studies reported a combined total of 2976 venous anastomoses using the coupler device.
A total of 46 venous thrombosis cases were reported, resulting in an average patency rate of 98.5%.
The thrombosis rate varied between 0% and 3% across the analyzed studies.

Conclusions:

The venous coupler device is an effective tool in microsurgery, achieving a high patency rate.
The device demonstrates a lower variation in thrombosis rates compared to hand-sewn venous anastomoses.