End-to-Side Anastomosis With "Open-Y" Technique on Small Vessels to Increase Patency and Facilitate Anastomosis

AKAN M., ÇAKIR B., Gideroglu K., AKÖZ T., Kavurmacioglu L. A.

JOURNAL OF CRANIOFACIAL SURGERY, vol.20, no.6, pp.2226-2229, 2009 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 20 Issue: 6
  • Publication Date: 2009
  • Doi Number: 10.1097/scs.0b013e3181bf860b
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.2226-2229
  • Istanbul Technical University Affiliated: Yes


We report a different type of microvascular end-to-side anastomosis using "open-Y" technique to increase small recipient vessel size and provide eversion of the vessel ends in end-to-side anastomosis. The purpose of this study was to compare the effectiveness of this technique with conventional end-to-side vessel anastomosis. Twenty rats were used to assess the open-Y technique in end-to-side anastomosis between carotid arteries and external jugular veins and another 20 rats constituted the control group in which conventional end-to-end anastomoses were performed. Statistically, the results at 1 hour and 2 weeks after the procedures favored the open-Y technique. When used in end-to-side anastomosis, the open-Y technique both provides eversion and increases the diameter of the vessel, which in turn case the procedure and provide a higher rate of patency especially in vessels with a diameter of 0.5 mm.