Heel suturing on the donor vessel prior to arteriotomy for end-to-side cerebrovascular anastomoses

Somkiat Wongsuriyanan; Kitiporn Sriamornrattanakul

doi:10.4103/ajns.AJNS_241_19

Asian Journal of Neurosurgery, Table of Contents

CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(01): 230-235
DOI: 10.4103/ajns.AJNS_241_19

Case Report

Heel suturing on the donor vessel prior to arteriotomy for end-to-side cerebrovascular anastomoses

Somkiat Wongsuriyanan

Department of Surgery, Division of Neurosurgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok

,

Kitiporn Sriamornrattanakul

Department of Surgery, Division of Neurosurgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok

› Author Affiliations

Abstract

Microvascular anastomosis is a common procedure in cerebrovascular surgery. End-to-side anastomoses were the most common procedure for extracranial-to-intracranial bypass. Many techniques were used to reduce clamping time of the recipient vessel. The authors innovated heel suturing on the donor vessel prior to arteriotomy (HSDA) technique from the previously described double sutures on the toe and heel of the donor vessel before arteriotomy technique for end-to-side anastomosis. Forty-three end-to-side anastomoses using the HSDA technique were collected from 32 patients.

Key-words:

Arteriotomy - bypass - cerebrovascular anastomosis - end-to-side anastomosis - heel suturing

Full Text

References

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