In-Situ Bypass
CHAPTER 17 In-Situ Bypass In-Situ Bypass The in-situ bypass best exemplifies the IC-IC bypass, requiring no scalp artery, no anticipatory graft harvest, no additional incisions or tunnels, and hardly any…
Extracranial-Intracranial Bypass with Interposition Graft
CHAPTER 15 Extracranial-Intracranial Bypass with Interposition Graft EC-IC Bypass with Interposition Graft The EC-IC interpositional bypass is an oversized STA-MCA bypass that uses the same end-to-side anastomosis to the recipient…
Reanastomosis
CHAPTER 18 Reanastomosis Reanastomosis Rejoining the transected ends of two arteries after excising aneurysmal pathology reconstructs the vascular anatomy and restores the original blood flow, without an interposition graft, a…
Reimplantation
CHAPTER 16 Reimplantation Reimplantation Reimplantation is the technical equivalent of the STA-MCA bypass because it uses an end-to-side anastomosis to join an efferent branch deliberately occluded and detached from an…
Suturing Technique
CHAPTER 9 Suturing Technique Craftsmanship Like pillars and buttresses that strengthen a building, sutures join arteries together and secure their connection. And as exposed brick and beams display the builder’s…
Tissue Handling
CHAPTER 10 Tissue Handling The Other Hand The steady repetition of the bite cycle by the dominant hand gets all the attention in bypass surgery because it drives the needle…
Arteriotomy
CHAPTER 8 Arteriotomy Arteriotomy Basics Bypass construction begins by creating the largest possible inlets and outlets in arteries to minimize anastomotic resistance and maximize flow. Arteriotomies initiate new connections between…
Donors and Recipients
CHAPTER 5 Donors and Recipients Pairing Planning a bypass entails simply pairing the recipient artery in need of revascularization with a donor artery that may be intracranial, extracranial, cervical, or…
Tightening and Knotting
CHAPTER 11 Tightening and Knotting Tying the Knot Like the bolts that fasten steel beams framing a skyscraper, knots bind and hold tissues, begin and end each suture line, and…
Basilar Artery Bypass Strategy
CHAPTER 23 Basilar Artery Bypass Strategy Basilar Artery Bypass Strategy Bypasses to the basilar artery are the most difficult to perform. The basilar artery is entombed at the geographic center…
