J Neurol Surg B Skull Base
DOI: 10.1055/a-2531-2506
Original Article

A Guide to Intracranial Bypass Suture

Sonia Ajmera
1   Department of Neurosurgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania, United States
,
Svetlana Kvint
2   Department of Neurosurgery, New York University Langone Health, New York City, New York, United States
,
3   Department of Neurosurgery, University of Oklahoma Medical Center, Oklahoma City, Oklahoma, United States
,
Ronald R. Barbosa
4   Department of Trauma and General Surgery, Legacy Emanuel Medical Center, Portland, Oregon, United States
,
Visish M. Srinivasan
1   Department of Neurosurgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania, United States
› Institutsangaben

Abstract

Introduction Cerebrovascular bypass surgery is technically demanding, with dozens of modifiable parameters influencing operative decision-making. Thoughtful selection of needle and suture materials is critical to success in these operations.

Methods Based on the authors' experiences and existing literature, a brief guide to needle and suture selection is provided.

Results Recommendations for needle and suture have taken into consideration key features of bypass constructs, such as bypass type, vessel caliber, and working space. Specific suture and needle are highlighted from two of the most common industry suppliers.

Conclusion This guide synthesizes clinical insights and practical guidelines to support neurosurgical trainees and practitioners in mastering cerebrovascular bypass techniques.



Publikationsverlauf

Eingereicht: 09. November 2024

Angenommen: 02. Februar 2025

Accepted Manuscript online:
04. Februar 2025

Artikel online veröffentlicht:
25. Februar 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany