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Mattress anastomosis in micro vascular reconstruction: technical note

  • Technical Note - Vascular
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Background

Superficial temporal artery-to-middle cerebral artery (STA-MCA) anastomosis is a common procedure for neurosurgeons. The surgery necessarily requires accurate and speedy manipulation of microscope, for which a specific training is needed. Unexpected bypass occlusion sometimes happen during surgery.

Objective

Generally, conventional interrupted or continuous suture has been used for vascular anastomosis, despite various ideas have been attempted in the other surgery fields. We propose a horizontal mattress suture technique for intracranial microvascular bypass surgery. This is the first report ever published on intracranial vascular anastomosis.

Methods

We had four patients of STA-MCA bypass surgery with “mattress anastomosis” from March to May of 2012.

Results

During the procedure, there was no bypass occlusion and good patency was confirmed in all cases.

Conclusion

Intimae of the recipient and the donor blood vessel contact each other precisely with this technique. Although a long-term assessment of patency is needed, it is useful for the intracranial bypass surgery.

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Financial support

This study was supported by the Maebashi Red Cross Hospital, Gunma, Japan.

Conflicts of interest

None.

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Authors and Affiliations

  1. Department of Neurosurgery, Maebashi Red Cross Hospital, 3-21-36 Asahi, Maebashi, Gunma, 371, Japan

    Masanori Aihara, Hiroya Fujimaki, Ryosuke Shintoku, Tadashi Osawa, Ken Asakura & Mizuho Miyazaki

  2. Kobayashi Neurosurgical Hospital, 1-5-21 Miwa, Nagano, 380, Japan

    Tetsuyoshi Horiuchi & Junpei Nitta

  3. Department of Neurosurgery, Tatebayashi Kosei Hospital, 262-1 Narushima, Tatebayashi, Gunma, 374, Japan

    Masanori Aihara

Authors
  1. Masanori Aihara
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  2. Hiroya Fujimaki
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  3. Ryosuke Shintoku
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  4. Tadashi Osawa
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  5. Ken Asakura
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  6. Mizuho Miyazaki
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  7. Tetsuyoshi Horiuchi
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  8. Junpei Nitta
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Corresponding author

Correspondence to Masanori Aihara.

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Aihara, M., Fujimaki, H., Shintoku, R. et al. Mattress anastomosis in micro vascular reconstruction: technical note. Acta Neurochir 155, 607–609 (2013). https://doi.org/10.1007/s00701-013-1644-x

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  • DOI: https://doi.org/10.1007/s00701-013-1644-x

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