title: A simple technique to prevent and correct graft vessel kinking in the subcutaneous tunnel: technical note.
abstract: OBJECTIVE
  A simple method for preventing and correcting graft kinking for vascular reconstructive surgery through a subcutaneous tunnel is described.
  
  
  METHODS
  Using a chest tube, 1-0 silk suture and cerebral aneurysmal clips, the problem of postoperative ischemic complications due to kinking can be solved.
  
  
  CONCLUSIONS
  The main advantages of this method are its simplicity and low cost. Using this method does not require any special equipment and the problem of postoperative ischemic complications due to vascular injury, kinking and vasospasms can be addressed.
authors.affiliation: Department of Neurosurgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-86, Japan. ymurai@nms.ac.jp
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Murai
authors.forename: Takayuki
authors.initials: T
authors.lastname: Mizunari
authors.forename: Katusya
authors.initials: K
authors.lastname: Umeoka
authors.forename: Kojiro
authors.initials: K
authors.lastname: Tateyama
authors.forename: Shiro
authors.initials: S
authors.lastname: Kobayashi
authors.forename: Akira
authors.initials: A
authors.lastname: Teramoto
mesh_terms: D000368:Aged; D001808:Blood Vessels / Q000637:transplantation*; D002339:Carotid Arteries / Q000601:surgery; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control*; D017534:Radial Artery / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D047011:Silk; D013525:Surgical Instruments; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D014656:Vascular Surgical Procedures / Q000379:methods*
chemical_list: D047011:Silk