End-to-Side Anastomosis

Jul 31, 2019 by in NEUROSURGERY Comments Off on End-to-Side Anastomosis

CHAPTER 1 End-to-Side Anastomosis End-to-Side Anastomosis Anastomoses are the connections that join arteries together to create a bypass. The Greek roots of the word translate to “furnish with a mouth,”…

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Combination Bypasses

Jul 22, 2019 by in NEUROSURGERY Comments Off on Combination Bypasses

CHAPTER 20 Combination Bypasses Combination Bypasses The six bypasses described previously join a donor and a recipient with one anastomosis, or two anastomoses when an interpositional graft is used, to…

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Extracranial-Intracranial Bypass

Jul 22, 2019 by in NEUROSURGERY Comments Off on Extracranial-Intracranial Bypass

CHAPTER 14 Extracranial-Intracranial Bypass Extracranial-Intracranial Bypass The EC-IC bypass is the prototypical bypass, the first generation of bypasses, and the first of the seven bypasses. The STA-MCA bypass, developed and…

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In-Situ Bypass

Jul 22, 2019 by in NEUROSURGERY Comments Off on 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…

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Extracranial-Intracranial Bypass with Interposition Graft

Jul 22, 2019 by in NEUROSURGERY Comments Off on 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…

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Reanastomosis

Jul 22, 2019 by in NEUROSURGERY Comments Off on 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…

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Reimplantation

Jul 22, 2019 by in NEUROSURGERY Comments Off on 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…

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Suturing Technique

Jul 22, 2019 by in NEUROSURGERY Comments Off on 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…

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Tissue Handling

Jul 22, 2019 by in NEUROSURGERY Comments Off on 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…

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