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BACKGROUND: Anastomotic microvascular device has gained popularity in reconstructive microsurgery over the last two decades. A systematic literature search has been carried out in the use of the venous coupler device in microsurgery to assess its impact on patency rate in microsurgery. METHOD: Using key words related to the topic, a literature search of major databases was carried out. Selection was undertaken on two level screening. From the literature search 53 potential articles were identified. Of these 13 met both levels of screening for the final critical analysis. RESULTS: A total of 2976 venous anastomoses with coupler device were carried out in the 13 studies with a combined thrombosis in 46 veins reported, giving an average 98.5% patency and a variation in thrombosis rate ranging from 0 to 3%. CONCLUSION: The venous coupler device serves as a powerful instrument in microsurgery by achieving high patency rate. More importantly the data suggests less variation in thrombosis rate compared to hand-sewn venous anastomosis.

Original publication




Journal article


Journal of plastic, reconstructive & aesthetic surgery : JPRAS

Publication Date





752 - 755


Imperial College Healthcare NHS Trust, Charing Cross Hospital, Plastic & Reconstructive Surgery Department, Fulham Palace Road, London W6 8RF, United Kingdom. Electronic address:


Humans, Venous Thrombosis, Anastomosis, Surgical, Vascular Surgical Procedures, Microsurgery, Reconstructive Surgical Procedures, Sensitivity and Specificity, Retrospective Studies, Equipment Design, Equipment Safety, Female, Male, Anastomotic Leak