Journal of Reconstructive Microsurgery, Table of Contents J Reconstr Microsurg 1989; 5(2): 115-118DOI: 10.1055/s-2007-1006858 ORIGINAL ARTICLE © 1989 by Thieme Medical Publishers, Inc.Use of the Vascular Punch in MicrosurgeryWilliam C. Pederson, William J. Barwick Department of Surgery, Division of Plastic, Reconstructive, and Maxillofacial Surgery, Duke University Medical Center and Durham Veteran's Administration Medical Center, Durham, North Carolina Recommend Article Abstract Buy Article ABSTRACT End-to-side microvascular anastomoses continue to present technical difficulties. We have recently modified our technique when performing arteriotomy, utilizing an available vascular punch. Experience to date with this technique has been encouraging in the performance of arteriotomy for end-to-side anastomoses. This technique has been particularly useful in patients with arteriosclerotic vascular disease. There have been no complications related to the technique, and we feel it may provide the best arteriotomy for end-to-side anastomosis. Full Text
