Introduction There are several reasons microsurgeons may not use a coupler device in
arterial anastomosis: may be thick-walled, non-pliable due to atherosclerotic calcification or
present vessel geometrical discrepancies. This review summarises the current applications,
efficacy and troubleshooting of microvascular coupler devices in arterial end-to-end
anastomosis. Methods A systematic review of the literature was performed in November
2020 across 4 electronic databases and in accordance with the PRISMA guidelines. All …