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Techniques of End-To-Side Anastomosis—Experimental Evaluation and Clinical Findings

  • H. M. Mehdorn
  • W. J. Bock
  • D. Rhode
  • E. W. Strahl
Conference paper
Part of the Acta Neurochirurgica book series (NEUROCHIRURGICA, volume 28)

Abstract

The degree of improvement of cerebral function after the extracranial-intracranial (EC/IC) bypass procedure depends on many factors: preoperative cerebral function, cerebral perfusion as indicated by angiography and CBF measurements, and quality of available extra-and intracranial vessels. Besides these given factors which influence the indication for an EC/IC bypass, another major factor is the surgical technique used to perform the EC/IC anastomosis. Yasargil3 developed a technique that has been applied—with minor changes in more than 4000 patients over the past 10 years. A major objection to this technique has been the fact that the recipient cerebral artery must be occluded with temporary clips over some 20–30 minutes.

Keywords

Bypass Procedure Endothelial Lining Vein Wall Intracranial Vessel Occlusion Time 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Mehdorn, H. M., Chater, N. L., Townsend, J. J., Weinstein, P. R., Meyermann, R., Vessel wall response to microsurgical end-to-side anastomosis: Comparison of clinical findings with a laboratory model. Ann. Meet. Congr. of Neurol. Surg., 24.-29.9. 1978, Washington, D.C., U.S.A.Google Scholar
  2. 2.
    Tulleken, C. A. F., A new technique for the end to side anastomosis between arteries of small calibre. Fourth Intern. Symp. on Microsurgical Anastomosis for Cerebral Ischemia, 6.-8.9. 1978, London, Canada.Google Scholar
  3. 3.
    Yasargil, M. G., Microsurgery applied to neurosurgery. Stuttgart-New York-London 1969.Google Scholar

Copyright information

© Springer-Verlag Wien 1979

Authors and Affiliations

  • H. M. Mehdorn
    • 1
  • W. J. Bock
    • 1
  • D. Rhode
    • 1
  • E. W. Strahl
    • 1
  1. 1.Department of NeurosurgeryUniversity of EssenFederal Republic of Germany

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