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HA 1.3%) and total flap loss (CA 2.2% vs. HA 1.8%). However, revision rates were significantly higher in the CA group (CA 10.5% vs. HA 7.9%; p = .003), with higher numbers of arterial (2.3 vs. 0.9%; p .001) and venous thromboses (3.4 vs. 1.8%; p = .001) accounting for this finding. All taken into account, our findings do support the feasibility of venous coupler anastomoses in principle, however the inflationary use of coupler devices should be evaluated critically. All taken into account, our findings do support the feasibility