Introduction: Bypass and aneurysm trapping constitute a well-known surgical solution for aneurysms that are not suitable for clipping or coiling. New techniques are available that make EC-IC bypass procedures easier, safer and, possibly, less invasive. The nitinol self-closing U-Clip device (Medtronic, Inc., Minneapolis) has been designed to facilitate the interrupted suture technique by eliminating the need for suture management, knot tying, and surgical assistance. Materials and Methods: We present two consecutive U-clip bypass procedures in which the radial artery graft was harvested endoscopically. Results: This novel bypass technique employs endoscopy to minimise arm injury due to radial artery harvesting and self-closing U-clips to simplify the intracranial micro-anastomosis and reduce the temporary occlusion time. Angiography confirmed bypass patency in all patients. Discussion: Combined with the innovative use of U-clips, these two examples illustrate how new technologies can simplify EC-IC bypass surgery while yielding a better cosmetic and functional outcome.
|Titolo:||Endoscopic radial artery harvesting for U-clip high-flow EC-IC bypass : technical report|
|Parole Chiave:||Bypass; Endoscopy; Giant aneurysm; Radial artery; Self-closing U-Clip; Aged; Cerebral Angiography; Cerebral Revascularization; Female; Humans; Intracranial Aneurysm; Male; Middle Aged; Radial Artery; Surgical Instruments; Treatment Outcome; Endoscopy; Neurology (clinical); Surgery|
|Settore Scientifico Disciplinare:||Settore MED/23 - Chirurgia Cardiaca|
|Data di pubblicazione:||2009|
|Digital Object Identifier (DOI):||10.1007/s00701-009-0274-9|
|Appare nelle tipologie:||01 - Articolo su periodico|