Optimal Setting and Preparation of Operative Field for Cerebral Revascularization Bypass Surgery in a Deep Corridor. Technical Note

Abstract

Cerebral revascularization bypass surgery in a deep corridor is challenging. Successful revascularization depends not only on anastomosis technique but also on the setting of the operative field. In this article, we describe detailed preparation specific to deep bypass surgery to help developing neurosurgeons start performing this operation. We discuss sufficient exposure of the recipient artery, aspiration of excessive cerebrospinal fluid, optimal preparation of the donor artery, and proper choice of operative instrument.