The present invention relates to new and useful apparatus, systems and
methods for providing an effective tool for intraluminally directed
vascular anastomosis of a graft vessel to a receiving blood vessel that
is performed according to a minimally invasive procedure. The
intraluminally directed vascular anastomosis does not require the
interruption of blood flow in the receiving blood vessel and it is
versatile enough to suitably combine a variety of cutting, welding,
soldering, sealing, and joining techniques. The intraluminally directed
anvil apparatus comprises an anvil and a wire used for signaling the
optimal anastomosis site; this signaling can be performed when the
initial exploration is performed. An anastomosis device is used in
conjunction with the intraluminally directed anvil apparatus for opening
the anastomosis fenestra and joining the anastomosed structures.