Intracranial vascular anastomosis using the microanastomotic system. Technical note.
The authors describe the use of a microanastomotic device to perform intracranial end-to-end vascular anastomoses. Direct end-to-end anastomosis was performed between the superficial temporal artery and branches of the middle cerebral artery (MCA) in three patients. Two patients had moyamoya disease, with severe proximal MCA disease, and one suffered an internal carotid artery occlusion with poor collateral flow. All patients reported a history of recent ischemic symptoms. Each anastomosis was accomplished in less than 15 minutes with technically satisfactory results. Postoperative angiographic studies demonstrated patency of the bypasses in all patients.
Department of Neurological Surgery, University of Washington School of Medicine, and Harborview Medical Center, Seattle 98104, USA. DWN@u.washington.edu
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Newell
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Dailey
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Skirboll
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods*; D002343:Carotid Artery, Internal / Q000503:physiopathology / Q000601:surgery; D016893:Carotid Stenosis / Q000503:physiopathology / Q000601:surgery; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D003097:Collateral Circulation / Q000502:physiology; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000601:surgery; D008297:Male; D008866:Microsurgery / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D009072:Moyamoya Disease / Q000601:surgery; D013699:Temporal Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors; D014654:Vascular Patency