An anastomotic connector comprising: an arterial anchor device; a venous anchor device; and a graft material in fluid engagement with a proximal end of said arterial anchor device and a proximal end of said venous anchor device; wherein said venous anchor device comprises: a tubular main venous anchor device body comprising a metal frame structure defined by a plurality of struts and connectors, said tubular main venous anchor device body including a distal end and a proximal end, said distal end including a plurality of barbs thereon wherein said distal end has an outer diameter greater than the proximal end; and wherein said arterial anchor device comprises: a generally tubular main arterial anchor device body comprising a metal frame-like structure comprising a plurality of struts and connectors and including a distal end, a mid-portion, and a proximal end; and a plurality of flanges integrally formed with the main arterial anchor device body at a distal end thereof, said flanges movable between a loaded position and an expanded position, characterised in that said distal end comprises a variable cutting pattern such that the struts and connectors at the distal end are closer together than the struts and connectors at the mid-portion and proximal end. an arterial anchor device; a venous anchor device; and a graft material in fluid engagement with a proximal end of said arterial anchor device and a proximal end of said venous anchor device; wherein said venous anchor device comprises: a tubular main venous anchor device body comprising a metal frame structure defined by a plurality of struts and connectors, said tubular main venous anchor device body including a distal end and a proximal end, said distal end including a plurality of barbs thereon wherein said distal end has an outer diameter greater than the proximal end; and wherein said arterial anchor device comprises: a generally tubular main arterial anchor device body comprising a metal frame-like structure comprising a plurality of struts and connectors and including a distal end, a mid-portion, and a proximal end; and a plurality of flanges integrally formed with the main arterial anchor device body at a distal end thereof, said flanges movable between a loaded position and an expanded position, a tubular main venous anchor device body comprising a metal frame structure defined by a plurality of struts and connectors, said tubular main venous anchor device body including a distal end and a proximal end, said distal end including a plurality of barbs thereon wherein said distal end has an outer diameter greater than the proximal end; and wherein said arterial anchor device comprises: a generally tubular main arterial anchor device body comprising a metal frame-like structure comprising a plurality of struts and connectors and including a distal end, a mid-portion, and a proximal end; and a plurality of flanges integrally formed with the main arterial anchor device body at a distal end thereof, said flanges movable between a loaded position and an expanded position, a generally tubular main arterial anchor device body comprising a metal frame-like structure comprising a plurality of struts and connectors and including a distal end, a mid-portion, and a proximal end; and a plurality of flanges integrally formed with the main arterial anchor device body at a distal end thereof, said flanges movable between a loaded position and an expanded position, characterised in that said distal end comprises a variable cutting pattern such that the struts and connectors at the distal end are closer together than the struts and connectors at the mid-portion and proximal end.