Use of a tilted double clamp in microvascular anastomosis

A tilted or angulated double microvascular clamp is described that, when applied to the vessels to be anastomosed, presents the vessel ends angulated upward facing the surgeon, so that the initial suturing of the posterior wall can be completed without rotating the vessel. Such a clamp is valuable in clinical situations where space is limited and where conventional double clamps cannot be rotated in the usual fashion.