Partial eversion anastomosis juncture formation and suturing
Disclosed embodiments include apparatuses, systems, and methods for facilitating surgical anastomosis between bodily passages. In an illustrative embodiment, an eversion mechanism is configured to partially evert a distal portion of an opening of a receiving passage and further configured to leave a proximal portion of the opening of the receiving passage in a non-everted position. A donor support mechanism is configured to partially evert a distal portion of an opening at an end of a donor passage and further configured to leave a first proximal portion of the end of the donor passage in a non-everted position. The donor support mechanism is further configured to form a passage juncture at the end of the donor passage and the opening of the receiving passage. A suturing mechanism is configured to motivate a filament through a generally helical path around the passage juncture to suture the donor passage to the receiving passage.
1. A method comprising:
everting a distal portion of an end of a donor passage, a proximal portion of the end of the donor passage remaining in a non-everted position;
everting a distal portion of an opening of a receiving passage, a proximal portion of the opening of the receiving passage remaining in a non-everted position;
forming a passage juncture between the end of the donor passage and the opening of the receiving passage; and
motivating a filament along a generally helical path around the passage juncture to suture the donor passage to the receiving passage,
wherein the proximal portion of the donor passage meets the proximal portion of the receiving passage at an acute angle.
2. The method of claim 1 , further comprising presenting a plurality of guide sections around the periphery of the passage juncture where internal faces of the guide sections each define a partial helical channel.
3. The method of claim 2 , further comprising motivating the filament along the partial helical channel defined by the interior surface of each guide section with a helical needle shaped to travel along the partial helical channel.
4. The method of claim 1 , further comprising forming the opening of the donor passage in a side of the receiving passage.
5. The method of claim 1 , wherein everting the distal portion of the opening of the receiving passage is performed by applying suction to an exterior surface of the distal portion of the opening.
6. The method of claim 1 , wherein the receiving passage includes a coronary artery and the donor passage includes a saphenous vein.
7. The method of claim 1 , further comprising making a subxiphoid incision to provide access to a heart to access the coronary artery.