A vascular conduit device and a delivery system for intraoperative repair damaged portion of an artery or vein and methods of use are provided. The device has a cylindrical body and may include a shaped member, such as a microbarb, configured to anchor into the tunica intima and the tunica media of the vessel wall, and not to the tunic adventitia and vasa vasorum. Various configurations and orientations of the microbarbs are provided, including microbarbs that are preferably aligned at an acute angle in the range of about 5 to 30 degrees and having a substantially parallel surface. The delivery system preferably has a translatable dilator tip that when retracted is configured to engage with the device during delivery. When the dilator tip is extended, the device can be implanted into the vessel wall. The vascular conduit device can be assembled during the emergency open surgical procedure.
