| One-knot microvascular anastomosis. An experimental study in rats. | |
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MedLine Citation:
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PMID: 3553457 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Experimental microvascular anastomosis using a glutide copolymer (lactide:glycolide, 80:20) as an external splint was undertaken in 33 rats between the carotid artery and the jugular vein. Both vessels were dissected free over a 1-cm length and cut at the cranial end of the dissected part. The carotid artery was then introduced into a glutide pipe-splint. The arterial wall was turned 180 degrees over the edge of the splint. This reflected artery wall and the glutide were covered by the freed-up jugular vein. One stitch was made around the vein, the artery, and the glutide in a manner similar to binding steel wire over a barrel. Thus, the "one-knot anastomosis" was completed. The patency rate at the anastomosed site was 100%, confirmed by angiography in 30 rats and by direct surgery in three. The time required to produce the anastomosis was between 5 and 7 minutes. Light microscopic observation showed that there was no obstruction by thrombus formation at 1 and 5 weeks after the anastomotic surgery. This technique may be clinically applicable for extracranial-intracranial bypass surgery, reconstruction of venous sinuses, and other vascular procedures. |
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Authors:
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H Iwasa; F Sato; H Shimabukuro; N Yamada; Y Ikada; S H Hyon |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 66 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 1987 May |
Date Detail:
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Created Date: 1987-06-05 Completed Date: 1987-06-05 Revised Date: 2003-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 764-7 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Animals Arteriovenous Shunt, Surgical / instrumentation, methods* Blood Vessel Prosthesis Carotid Arteries / surgery Jugular Veins / surgery Microsurgery / instrumentation, methods* Polyglactin 910 / therapeutic use Rats Rats, Inbred Strains Suture Techniques* / instrumentation Vascular Surgical Procedures / instrumentation, methods* |
| Chemical | |
Reg. No./Substance:
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34346-01-5/Polyglactin 910 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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