Advanced Tips and Tricks for the Microvascular Coupler Anastomosis

Microvascular anastomotic couplers are a safe alternative to traditional vein suture techniques. They are versatile and widely used for flap vein anastomoses; however, the technique has limitations. Most problems which can arise, have reasonable solutions that we have learned using this device. We describe advanced tips to avoid pitfalls and aid successful venous anastomoses with couplers in challenging situations.