title: [Combined method of creating extra-intracranial microvascular anastomoses using biological adhesives (experimental-clinical study)].
abstract: The article deals with the experimental results and the technique of the establishment of end to side microvascular anastomosis with the application of 4 crossed sutures and the use of fibrinogen-thrombin glue and hemostatic sponge. Analysis of the clinical results of the establishment of an extra-intracranial microvascular anastomosis by the suggested method in 54 patients showed its good function in a relatively early post-operative period, comparative simplicity and accessibility of performance, and a gain in the duration of the operation. The operation may be used in the surgical treatment of patients with ischemic lesions of the brain as well as a "prophylactic manipulation" immediately before direct intervention on the cerebral vessels for giant aneurysm, carotido-cavernous anastomosis, etc.
mesh_terms: D000328:Adult; D000368:Aged; D000818:Animals; D001164:Arteriovenous Fistula / Q000601:surgery; D002545:Brain Ischemia / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000601:surgery; D002548:Cerebral Revascularization / Q000379:methods*; D005260:Female; D005340:Fibrinogen; D006489:Hemostatic Techniques / Q000295:instrumentation; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D011817:Rabbits; D013917:Thrombin; D014014:Tissue Adhesives
chemical_list: D014014:Tissue Adhesives; D005340:Fibrinogen; D013917:Thrombin
vernacular_title: Kombinirovannyĭ sposob sozdaniia ékstraintrakranial'nogo mikrososudistogo anastomoza s primeneniem biologicheskikh skleivaiushchikh materialov (éksperimental'no-klinicheskoe issledovanie).