title: Temporary cerebral revascularization using a radial artery in the hand-eyeshade posture: technical note.
abstract: Kamiyama introduced a unique method of temporary cerebral revascularization using a radial artery graft (RAG) in his technical review. We tried original method with Sugita frame, and pointed out some disadvantages that include to avoid taking instruments or hands in and out, stability of hands, and unrestricted usage of brain retractors during temporary bypass between radial artery and M2 potion of middle cerebral artery (RA-M2 bypass). To solve those disadvantages, especially for Sugita head frame users, we here present a modified Kamiyama's method of temporary cerebral revascularization with the forearm elevated over the face like as hand-eyeshade posture.
authors.affiliation: Department of Neurosurgery, St. Marianna University School of Medicine.
authors.forename: Jun
authors.initials: J
authors.lastname: Hiramoto
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Tanaka
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications / Q000601:surgery; D020144:Basal Ganglia Cerebrovascular Disease / Q000209:etiology; D002545:Brain Ischemia / Q000209:etiology; D002548:Cerebral Revascularization / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002560:Cerebrovascular Circulation; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery; D007431:Intraoperative Complications / Q000209:etiology; D008875:Middle Aged; D020768:Middle Cerebral Artery / Q000601:surgery*; D010291:Paresis / Q000209:etiology; D056888:Patient Positioning; D011183:Postoperative Complications / Q000209:etiology; D017534:Radial Artery / Q000637:transplantation*; D059409:Stroke, Lacunar / Q000209:etiology; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000601:surgery; D016042:Transplantation, Heterotopic