title: Mattress anastomosis in micro vascular reconstruction: technical note.
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.
  
  
  CONCLUSIONS
  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.
authors: Department of Neurosurgery, Maebashi Red Cross Hospital, 3-21-36 Asahi, Maebashi, Gunma, 371, Japan. masa.a6221@gmail.com
authors: Masanori
authors: M
authors: Aihara
authors: Hiroya
authors: H
authors: Fujimaki
authors: Ryosuke
authors: R
authors: Shintoku
authors: Tadashi
authors: T
authors: Osawa
authors: Ken
authors: K
authors: Asakura
authors: Mizuho
authors: M
authors: Miyazaki
authors: Tetsuyoshi
authors: T
authors: Horiuchi
authors: Junpei
authors: J
authors: Nitta
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D002533:Cerebral Angiography / Q000379:methods; D002548:Cerebral Revascularization / Q000379:methods*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D013699:Temporal Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome