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首页> 外文期刊>Acta Neurochirurgica >Mattress anastomosis in micro vascular reconstruction: Technical note
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Mattress anastomosis in micro vascular reconstruction: Technical note

机译：微血管重建中的床垫吻合：技术说明

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Background: Superficial temporal artery-to-middle cerebral artery (STA-MCA) anastomosis is a common procedure for neurosurgeons. The surgery necessarily requires accurate and speedy manipulation of microscope, for which a specific training is needed. Unexpected bypass occlusion sometimes happen during surgery. Objective: Generally, conventional interrupted or continuous suture has been used for vascular anastomosis, despite various ideas have been attempted in the other surgery fields. We propose a horizontal mattress suture technique for intracranial microvascular bypass surgery. This is the first report ever published on intracranial vascular anastomosis. Methods: We had four patients of STA-MCA bypass surgery with "mattress anastomosis" from March to May of 2012. Results: During the procedure, there was no bypass occlusion and good patency was confirmed in all cases. Conclusion: Intimae of the recipient and the donor blood vessel contact each other precisely with this technique. Although a long-term assessment of patency is needed, it is useful for the intracranial bypass surgery.
机译：背景：颞浅动脉-大脑中动脉（STA-MCA）吻合术是神经外科医师常用的手术方法。手术必然需要准确，快速地操作显微镜，为此需要进行专门的培训。手术期间有时会发生意外的旁路阻塞。目的：尽管在其他外科领域已尝试了各种想法，但通常将常规的间断或连续缝合用于血管吻合术。我们提出了一种用于颅内微血管旁路手术的卧式床垫缝合技术。这是有关颅内血管吻合术的首次报道。方法：2012年3月至5月，我们收治了4例STA-MCA搭桥手术并伴有“床垫吻合术”的患者。结论：该技术使受体内膜和供体血管内膜彼此精确接触。尽管需要对通畅性进行长期评估，但对颅内搭桥手术很有用。

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