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Advanced Tips and Tricks for the Microvascular Coupler Anastomosis
Sarah J Lonie1, Georgios Pafitanis2, Timothy P Crowley1
1Plastic Surgery Department, Royal Victoria Infirmary, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, United Kingdom.
Journal of Hand and Microsurgery
|June 20, 2025
Abstract
None:
Microvascular anastomotic couplers are a safe alternative to traditional vein suture techniques. They are versatile and widely used for flap vein anastomoses; however, the technique has limitations. Most problems which can arise, have reasonable solutions that we have learned using this device. We describe advanced tips to avoid pitfalls and aid successful venous anastomoses with couplers in challenging situations.

