Endoscopic radial artery harvesting for U-clip high-flow EC-IC bypass: technical report.
Acta Neurochir (Wien)
; 151(5): 529-35; discussion 535, 2009 May.
Article
in En
| MEDLINE
| ID: mdl-19319474
ABSTRACT
INTRODUCTION:
Bypass and aneurysm trapping constitute a well-known surgical solution for aneurysms that are not suitable for clipping or coiling. New techniques are available that make EC-IC bypass procedures easier, safer and, possibly, less invasive. The nitinol self-closing U-Clip device (Medtronic, Inc., Minneapolis) has been designed to facilitate the interrupted suture technique by eliminating the need for suture management, knot tying, and surgical assistance. MATERIALS ANDMETHODS:
We present two consecutive U-clip bypass procedures in which the radial artery graft was harvested endoscopically.RESULTS:
This novel bypass technique employs endoscopy to minimise arm injury due to radial artery harvesting and self-closing U-clips to simplify the intracranial micro-anastomosis and reduce the temporary occlusion time. Angiography confirmed bypass patency in all patients.DISCUSSION:
Combined with the innovative use of U-clips, these two examples illustrate how new technologies can simplify EC-IC bypass surgery while yielding a better cosmetic and functional outcome.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Intracranial Aneurysm
/
Cerebral Revascularization
/
Radial Artery
/
Endoscopy
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Acta Neurochir (Wien)
Year:
2009
Document type:
Article