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A New Technique for End-To-Side Anastomosis Between Small Arteries

  • C. A. F. Tulleken
  • P. Hoogland
  • J. Slooff
Conference paper
Part of the Acta Neurochirurgica book series (NEUROCHIRURGICA, volume 28)

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.

Keywords

Cerebral Artery Collateral Flow Carotid Endarterectomy Proximal Portion Posterior Cerebral Artery 
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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Copyright information

© Springer-Verlag Wien 1979

Authors and Affiliations

  • C. A. F. Tulleken
    • 1
  • P. Hoogland
    • 1
  • J. Slooff
    • 1
  1. 1.Ursula ClinicWassenaarHolland

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