High-flow bypass using nonocclusive excimer laser-assisted end-to-side anastomosis of the external carotid artery to the P1 segment of the posterior cerebral artery via the sylvian route. Technical note.
In a patient with a giant aneurysm of the basilar artery trunk, a vein graft was interposed between the external carotid artery in the neck and the P1 segment of the posterior cerebral artery. Balloon occlusion of both vertebral arteries was performed 3 days later. The sylvian route was used for the grafting procedure and the connection to the posterior cerebral artery was made by using the excimer laser-assisted nonocclusive anastomosis technique.
Tulleken
C A
CA
Department of Neurosurgery, University Hospital, Utrecht, The Netherlands.
van der Zwan
A
A
van Rooij
W J
WJ
Ramos
L M
LM
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods*; D000783:Aneurysm / Q000601:surgery; D001488:Basilar Artery / Q000601:surgery; D002342:Carotid Artery, External / Q000601:surgery*; D002404:Catheterization; D002536:Cerebral Arteries / Q000601:surgery*; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation / Q000379:methods*; D012039:Regional Blood Flow / Q000502:physiology; D012501:Saphenous Vein / Q000637:transplantation*; D013345:Subarachnoid Hemorrhage / Q000601:surgery; D013927:Thrombosis / Q000601:surgery; D014711:Vertebral Artery / Q000473:pathology