HOW I DO IT
Year : 2021  |  Volume : 8  |  Issue : 4  |  Page : 363-365

Advancement on the alexis carrel technique: A practical alternative for continuous end-to-end vascular anastomosis


Department of Vascular Surgery, Royal North Shore Hospital, Sydney, Australia

Correspondence Address:
Animesh Singla
Department of Vascular Surgery, Royal North Shore Hospital, Sydney
Australia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijves.ijves_76_21

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Since description of the first vascular anastomosis techniques pioneered by Alexis Carrel, vascular reconstructive techniques have undergone several advancements. The traditional three-point “Alexis” technique for and end-to-end anastomosis remains a textbook description of an ideal anastomosis, especially in microsurgery. In clinical practice, dissection extent, vessel mobility, and timing can limit the applicability for daily use. We describe a more intuitive procedure, using common vascular techniques of parachuting and growth factor inclusion to achieve a technically perfect end-to-end anastomosis. In particular, the usual limitations of the “Alexis” technique do not limit this procedure making it easily learnable and reproducible.


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