| A simple surgical technique of direct anastomosis for treatment of moyamoya disease: technical note. | |
| | |
MedLine Citation:
|
PMID: 15451295 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: An arteriotomy on a branch of the middle cerebral artery (MCA) is required in the procedure of the direct anastomosis for the treatment of moyamoya disease, and the artery comes to be collapsed after blood is washed out. The phenomenon makes the microsurgical procedure difficult during direct anastomosis. METHODS: A piece of 3-0 blue monofilament polypropylene suture (PROLENE*, ETHICON Inc., a Johnson & Johnson Company, Somerville, New Jersey) was inserted into the lumen of the recipient artery though the ostium after termination of arteriotomy. The diameter of 3-0 PROLENE* was between 0.20 and 0.249 mm. PROLENE*, a length that was more than the length of the arteriotomy and was less than the distance between the 2 occlusion clamps placed on the recipient artery. At this time, the lumen was reopened and the wall of the recipient artery was easily passed by a microneedle with 11-0 monofilament without injury to the posterior wall of the recipient artery by the microneedle. Confirmation as to whether the microneedle snagged and injured the posterior wall of the recipient artery or not was unnecessary with this method. RESULTS: Anastomosis was easily performed using this technique for the treatment of moyamoya disease. CONCLUSIONS: Clinical application of the present technique makes the anastomotic procedure easy, even when the diameter of the recipient artery is as small as 0.5 mm. |
| | |
Authors:
|
Hajime Touho |
Related Documents
:
|
15348985 - Ophthalmic artery occlusion secondary to radiation-induced vasculopathy. 9605225 - Morphological characteristics and distribution pattern of the arterial vessels in human... 1754505 - Experimental cerebral atherosclerosis in the rabbit. scanning electron microscopic stud... 19459525 - Variation of the recurrent artery of heubner in human cadavers. 20670505 - Endarterectomy of an occluded ica: short segment occlusion with distal patency maintain... 19846545 - Effect of high-normal compared with low-normal arterial ph on protein balances in autom... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Surgical neurology Volume: 62 ISSN: 0090-3019 ISO Abbreviation: Surg Neurol Publication Date: 2004 Oct |
Date Detail:
|
Created Date: 2004-09-28 Completed Date: 2004-10-26 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0367070 Medline TA: Surg Neurol Country: United States |
Other Details:
|
Languages: eng Pagination: 366-8 Citation Subset: IM |
Affiliation:
|
Department of Neurosurgery, Touho Neurosurgical Clinic, Osaka 563-0026, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anastomosis, Surgical
/
methods* Cerebral Revascularization / methods* Humans Middle Cerebral Artery / surgery Moyamoya Disease / surgery* Suture Techniques Temporal Arteries / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Massive intracerebral air embolism associated with meningitis and lumbar spondylitis: case report.
Next Document: Inhibitory effect of Daesungki-Tang on the invasiveness potential of hepatocellular carcinoma throug...