●参考資料

血管吻合器（microvascular coupling device）の試用経験：
平瀬雄一、児島忠雄、飯塚雄久　[ 形成外科35：551-556、1992 ]

鼠頸部皮膚欠損に対する筋皮弁移植術：
平瀬雄一、児島忠雄　[ 臨泌46：829-835、1992 ]

微小血管縫合器の使用経験・動物実験及び臨床応用からの検討：
柴田恭志、中島龍夫、吉村陽子　[ 形成外科35：1107-1111、1992 ]

微小血管吻合器使用例の検討：
朝戸裕貴、波利井清紀、竹大禎一　[ 基礎と臨床27：6251-6259、1993 ]

プリサイス（GEMカプラーの旧商品名）微小血管縫合システムによる動脈吻合の検討：
河越宏之、生田義和他　[ マイクロサージャリー：197-201、1993 ]

微小血管吻合器の静脈吻合における有用性：
古川洋志他　[ 形成外科37：415-420 ]



Reference Information for Clinical Data Related to the Microvascular Anastomotic COUPLER System
Technique and Clinical Experience of the MCA Coupler System In Free Flap Surgery
Authored by: C. Cope, R.L. Ng, M. Miller, H. Langstein (Published 01/01/2001; The Internet Journal of Plastic Surgery 2001 Vol1N1)
Ninety-nine anastomoses were performed in free flap procedures using the Coupler device between June 1995 and August 2000. All anastomoses were performed in an end-to-end fashion. The Coupler device proved to be a safe, reliable method for performing microvascular venous anastomoses, allowing reduced operating time in free flap surgery.

Venous Microanastomosis with the Coupler System, Sleeve and Suture Techniques: A Comparative Study in the Rat
Authored by: L. Zhang, A. Kolker, E. Choe, N. Bakshandeh, G. Josephson, F. Wu, J. Siebert, A. Kasabian (Published 05/01/1997 Journal of Reconstructive Microsurgery May 1997)
This experimental study presents the results of a comparison of three types of venous microanastomotic techniques: the Coupler System, the sleeve technique and the suture technique. The Coupler System proved to be the fastest method with the highest patency rate.

What is the Best Technique for Venous Anastomosis? Is Suturing of Vessels Obsolete?
Authored by: W. Shaw (Published 05/1197; Journal of Reconstructive Microsurgery Vol13N4 May 1997)
The ideal or best anastomotic technique should be 1) easy to learn; 2) technically simple and fast; 3) inherently adverse to thrombosis; and 4) adaptable to clinical situations. The Microvascular Anastomotic Coupler System (formerly the 3M or ACE microvascular coupler) appears to be the clear winner, with the best patency of 100% (80% for sleeve and 95% for suture techniques), and the fastest speed of 3.6 min (6.1 min for sleeve and 12.3 min for suture). Our clinical observation is that the Coupler System may be superior to the sleeve and suture techniques in terms of patency and speed, in the properly selected setting.

Magnetic Resonance Imaging Assessment of a Microvascular Anastomotic Device for Ferromagnetism
Authored by: M. DeLacure, H. Wang (Published 11/01/1997 Journal of Reconstructive Microsurgery Nov. 1997)
As clinical experience with the diagnostic imaging characteristics of flap reconstructions has been acquired, magnetic resonance imaging (MRI) has assumed a prominent role in the evaluation for recurrent malignant disease. Magnetic resonance imaging may be considered a safe imaging modality for the acute perioperative diagnostic imaging of free-tissue transfers that have been anastomosed with the Coupler.

Clinical Experience in End-to-Side Venous Anastomoses with a Microvascular Anastomotic Coupling Device in Head and Neck Reconstruction
Authored by: M. DeLacure, M.A. Kuriakose, A. Spies (Published 01/01/1999 Archives of Otolarngology - Head & Neck Surgery Aug. 1999 Vol 125)
Microvascular anastomosis remains one of the most technically sensitive aspects of free-tissue transfer reconstructions. The Microvascular Anastomotic Coupler System is well suited to end-to-side venous anastomosis when carefully and selectively used by experienced microvascular surgeons.

Management of Significant Venous Discrepancy with Microvascular Venous Coupler
Authored by: S. Sullivan, F. Dellacroce, R. Allen (Published 08/03 Journal of Reconstructive Microsurgery Vol19N6)
Microsurgery has revolutionized the art of reconstruction, with the discovery of the ability to replace like tissue with like tissue transferred from a distant site. A process to replace the tissue is the perforator flap transfer. Perforator breast reconstruction dominated the authors’ practice, and a frequently encountered problem is mismatched vessels. The authors have found the MCA microvascular venous coupler to be a reliable method to overcome this problem. The end-to-end technique allows a perfect intima-to-intima anastomosis despite the variation in caliber of the vessels. The time to complete the end-to-end anastomoses is significantly reduced to only a matter of minutes.