Analysis of surgical techniques for the intracranial part of high-speed extra-intracranial microanastomoses with the segments of the internal carotid and middle cerebral arteries: anatomical study
https://doi.org/10.24884/1682-6655-2013-12-3-16-21
Abstract
We have analyzed the fitches of surgical technique for performance of the intracranial part of all described in the literature types of high-speed extra-intracranial microanastomoses with M2- and Ml-segments of the MCA, C2, C6a areas of the ICA on 30 cadavers heads. We used a fragment of the large subcutaneous vein of the thigh as the shunt. After analyzing the microanatomy fitches of intracranial vessels of the ICA-region and the main troubles of microanastomoses performance, we revealed the most safest places for anastomose creation and the fasters manner of there suturing. So, the lowest time of temporary occlusion of recipient artery was necessary during performance of end to side anastomose with M2 segment of the MCA, end-to-end anastomose with C2-segment of the ICA, and end-to-side anastomose with the horizontal part of the petrouse segment of the ICA.
About the Authors
A. V. Shcherbinin
Saint-Petersburg I. I. Djanelidze Scientific Institute of Emergency Care; First Saint-Petersburg I. P. Pavlov State Medical University
Russian Federation
Russian Federation
V. N. Vavilov
Saint-Petersburg I. I. Djanelidze Scientific Institute of Emergency Care; First Saint-Petersburg I. P. Pavlov State Medical University
Russian Federation
Russian Federation
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Review
For citations:
Shcherbinin A.V., Vavilov V.N. Analysis of surgical techniques for the intracranial part of high-speed extra-intracranial microanastomoses with the segments of the internal carotid and middle cerebral arteries: anatomical study. Regional blood circulation and microcirculation. 2013;12(3):16-21. (In Russ.) https://doi.org/10.24884/1682-6655-2013-12-3-16-21
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