A
system for performing an end-to-side
vascular anastomosis including an
anastomosis device, an application instrument and methods for performing a
vascular anastomosis. The
system is applicable for performing an
anastomosis between a
vascular graft and the
ascending aorta in
coronary artery bypass surgery, particularly in port-access
CABG surgery. A first aspect of the invention includes a
vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the
target vessel wall and a
coupling member, forming the attachment with the bypass graft vessel. The
anastomosis is completed by inserting the
coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the
coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner
flange over which the graft vessel is everted and an outer
flange which contacts the exterior surface of the
target vessel. A tailored amount of compression applied by the inner and outer flanges grips the
target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a
flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis