Abstract
The construction of an end-to-side anastomosis between arteries of small calibre, as in the extra-intracranial bypass procedure, will take, in experienced hands, about 25–40 minutes. During this period the receiving cortical artery is occluded. Since this artery is part of the leptomeningeal collateral circulation system, normally no local ischaemia develops. For an end-to-side anastomosis in the more proximal portion of one of the three main cerebral arteries (anterior, middle and posterior cerebral artery) this occlusion period is much too long, since collateral flow at this level is insufficient.
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© 1979 Springer-Verlag Wien
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Tulleken, C.A.F., Hoogland, P., Slooff, J. (1979). A New Technique for End-To-Side Anastomosis Between Small Arteries. In: Brihaye, J., et al. Proceedings of the 6th European Congress of Neurosurgery. Acta Neurochirurgica, vol 28. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4088-8_59
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DOI: https://doi.org/10.1007/978-3-7091-4088-8_59
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-4090-1
Online ISBN: 978-3-7091-4088-8
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