Side-to-Side Anastomosis Using Femoral and Carotid Vessels

Side-to-side anastomosis, a precise microsurgical technique aimed at connecting vascular structures, proves particularly valuable in the context of complex cardiovascular, neurosurgical, or reconstructive surgeries. This chapter presents a comprehensive and detailed step-by-step technical guide to side-to-side anastomosis using the femoral and carotid vessels of a rat model. Each step is described in detail, including tissue handling, suturing techniques, and hemostasis. It covers the practical aspects of the procedure, considering the delicate nature of the vessels involved. Although the suturing techniques are very similar, special emphasis is given to the differences between artery-to-vein and artery-to-artery connections, ensuring a thorough understanding of their unique considerations and challenges. Continuous suturing techniques for connecting the vessel side-to-side are also described. Detailed instructions and technical nuances pertaining to this specialized procedure are provided, ensuring comprehensive coverage of the topic.