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Related Experiment Video

Updated: Apr 12, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Microvascular Anastomosis Devices: A Scoping Review.

Myiah P Quach1, Emily E Zona1, Doruk Orgun1,2

  • 1Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, United States.

Journal of Reconstructive Microsurgery
|April 10, 2026
PubMed
Summary

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This summary is machine-generated.

Microvascular anastomotic devices significantly reduce procedure time and maintain vessel patency compared to traditional sutures. While efficient, limitations like thrombosis risk and learning curves require further investigation.

Area of Science:

  • Microsurgery
  • Vascular Surgery
  • Biomedical Engineering

Background:

  • Hand-sewn microvascular anastomosis is complex and impacts patient outcomes.
  • Prolonged ischemia time is a critical concern in microvascular procedures.
  • Evaluating alternative anastomotic devices is crucial for improving surgical efficiency and results.

Purpose of the Study:

  • To review and synthesize evidence on microvascular anastomotic devices.
  • To compare device utility against traditional suture-only methods.
  • To identify areas for innovation in anastomotic techniques.

Main Methods:

  • Scoping review of PubMed, Scopus, Cochrane Library, and Web of Science.
  • Included studies focused on microsurgery, anastomoses, and devices (couplers, clips, lasers, glue, stents).

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  • Excluded non-English studies, reviews, and robotic technology.

    • Main Results:

    • 73 studies met inclusion criteria; couplers and clips were most common.
    • Devices replacing sutures (clips, staplers, couplers) showed reduced anastomotic times with comparable or improved patency.
    • Adjunctive devices like laser, stents, and glue demonstrated utility, though with noted limitations (e.g., thrombosis, inflammation).

    Conclusions:

    • Microvascular anastomotic devices offer improved efficiency and safety over conventional sutures.
    • Limitations include vessel characteristics, thrombosis risk, inflammation, cost, and learning curves.
    • High-quality trials are needed to validate findings in human and preclinical settings.