A new anastomosis technique for large-calibered vein grafts

A new anastomosis technique for large-calibered vein graft to repair a smaller-sized arterial defect is presented. At the proximal (upstream) anastomosis, a combination of sleeve anastomosis technique and plication of excess vessel wall is performed; and at the distal (downstream) anastomosis, the "fish-mouth" incision technique is used. The patency rate obtained with this technique is quite satisfactory, which justifies its use in clinical situations.