In Situ Side-to-Side Anastomosis: Surgical Technique and Complication Avoidance.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 29174234.
- Also identified by DOI 10.1016/j.wneu.2017.11.087.
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Abstract
In situ side-to-side (STS) anastomosis is a unique technique used for intracranial artery-intracranial artery revascularization. Over a 7-year period, 7 STS anastomoses were performed for anterior cerebral artery aneurysms in 6 patients and a posteroinferior cerebellar artery aneurysm in 1 patient. We provide a step-by-step guide for suturing techniques from arteriotomy to vessel wall sutures based on clinical experiences, with detailed illustrations. Technical considerations in each stage are also discussed. The current technique provides a viable option for treatment of complex aneurysms.
Medical subject headings
- Anastomosis, Surgical
- Cerebral Revascularization
- Intracranial Aneurysm
- Postoperative Complications
- Subarachnoid Hemorrhage