ReviewJournal of hand and microsurgery2025
"Solving vessel caliber mismatch in microvascular anastomosis: A comprehensive review, novel techniques, and a surgical guide for optimal outcomes".
Review in Journal of hand and microsurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed.
- Enhancing microvascular anastomoses with the Synovis Coupler device: A retrospective analysis of management of vascular diameter discrepancies.JPRAS open · 2026Article
- Management of the Venous Anastomoses of a Tertiary Referral Centre in Reconstructive Microvascular Surgery Using Fasciocutaneous Free Flaps in the Head and Neck.Journal of clinical medicine · 2025Article
- Institutional perspectives on the routine use of Interrupted Horizontal Micro-Mattress (IHMM) suturing in microvascular anastomosis.Journal of hand and microsurgery · 2025Article
- Present and Future of Autologous Breast Reconstruction: Advancing Techniques to Minimize Morbidity and Complications, Enhancing Quality of Life and Patient Satisfaction.Journal of clinical medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Caliber mismatch in microvascular anastomosis can significantly increase procedural difficulty and elevate the risk of thrombosis. A comprehensive literature search in PubMed, Scopus, Web of Science, and Google Scholar was conducted to identify articles addressing surgical techniques for overcoming caliber mismatch in microvascular anastomosis. Various techniques described in the literature were found: modifications of end-to-end anastomosis, the use of end-to-side anastomosis, the application of vessel grafts and the use of vessel couplers. In this review, we critically analyze these techniques and introduce additional technical variations. We discuss the options and express our preferred choice of methods based on specific clinical scenarios: if an alternative vessel (either new or isolated further away) is not found, the severity of the mismatch guides the choice. When less then 1/3 our choice is for vessel dilation and oblique cut of the smaller vessel end (if necessary with the adjunct of a titanium small Ligaclip in an oblique fashion to avoid a cul-de-sac). If caliber mismatch is around or over 1/3, we would prefer an end to side anastomosis.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.