脳卒中の外科
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
特集 血行再建術
練習できないバイパス手術のコツ
―上手な「場」の作成やその他のトラブルシューティング―
石川 達哉師井 淳太玉川 紀之武藤 達士安井 信之
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ジャーナル フリー

2010 年 38 巻 2 号 p. 77-82

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抄録
Complex cerebral aneurysm and hemodynamic occlusive cerebrovascular disease require microvascular-anastomosis, mainly superficial temporal artery (STA) to middle cerebral artery (MCA) bypass, as treatment tactics. Preparing a clean, well-drained operative field with a platform for placing microvascular sutures, good visualization of the arteriotomy, and steady hand movements are necessary to achieve a safe and secure bypass procedure. We present representative troubles that may be encountered in STA-MCA bypass surgery and describe how to manage those troubles. We stress that patients whose bypass appears to occlude immediately after surgery are sometimes encountered, because of problems in the STA itself such as spasm, dissection, distortion or pinching by surrounding tissues.
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© 2010 一般社団法人 日本脳卒中の外科学会
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