We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

A Technique for End-to-Side Vascular Anastomosis

V. Padmanabha Rao, MD; Christopher Y. Thomas Jr., MD
Arch Surg. 1970;101(1):91. doi:10.1001/archsurg.1970.01340250093021.
Text Size: A A A
Published online


A technique of end-to-side venous anastomosis evolved during canine experiments at St. Luke's Hospital Laboratory seems to have advantages over the present technique. The first advantage of this technique is the reduced incidence of inadvertent suturing of the posterior suture line to the anterior suture line. In the past this has been achieved by placing traction sutures1 (p95) or using nerve hooks2 to separate the walls while suturing.

Present techniques employ either a longitudinal incision3 or excision of an elipse of the side wall.1(p93) Upon completion of the anastomosis, there will be either a longitudinal slit or an oval opening at the suture line. The oval opening is said to have an advantage in maintaining patency. The technique described produces an adequate lumen by a different method. In this instance, anastomosis of the renal vein to the common iliac vein is described, but the method is


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.