Mattress anastomosis in micro vascular reconstruction: technical note.
Acta Neurochir (Wien)
; 155(4): 607-9, 2013 Apr.
Article
en En
| MEDLINE
| ID: mdl-23430235
ABSTRACT
BACKGROUND:
Superficial temporal artery-to-middle cerebral artery (STA-MCA) anastomosis is a common procedure for neurosurgeons. The surgery necessarily requires accurate and speedy manipulation of microscope, for which a specific training is needed. Unexpected bypass occlusion sometimes happen during surgery.OBJECTIVE:
Generally, conventional interrupted or continuous suture has been used for vascular anastomosis, despite various ideas have been attempted in the other surgery fields. We propose a horizontal mattress suture technique for intracranial microvascular bypass surgery. This is the first report ever published on intracranial vascular anastomosis.METHODS:
We had four patients of STA-MCA bypass surgery with "mattress anastomosis" from March to May of 2012.RESULTS:
During the procedure, there was no bypass occlusion and good patency was confirmed in all cases.CONCLUSION:
Intimae of the recipient and the donor blood vessel contact each other precisely with this technique. Although a long-term assessment of patency is needed, it is useful for the intracranial bypass surgery.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Arterias Temporales
/
Anastomosis Quirúrgica
/
Aneurisma Intracraneal
/
Revascularización Cerebral
/
Arteria Cerebral Media
Límite:
Humans
Idioma:
En
Revista:
Acta Neurochir (Wien)
Año:
2013
Tipo del documento:
Article
País de afiliación:
Japón