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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
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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

Financial support and sponsorship

Nil.




Publication History

Received: 29 July 2019

Accepted: 20 December 2019

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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