Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1992-4-9
pubmed:abstractText
We report our experience with the use of three saphenous vein grafts for treating advanced occlusive cerebrovascular disease in the anterior cerebral artery (ACA) in two patients. Superficial temporal artery (STA)-ACA anastomosis with interposed vein graft is thought to be indicated for patients who have STA of insufficient length to anastomose to the ACA. Vein graft has already been demonstrated to be applicable in extracranial-intracranial artery bypass, as well as in aorto-coronary bypass. Two factors considered to be essential for successful revascularization are technical proficiency, including protection from drying, smooth approximation of vessels, and proper orientation of the graft, and the relative size of donor and recipient vessels. Because the vein graft must be anastomosed with the proximal ACA to reduce the size discrepancy between vessels, prolonged interruption of circulation during suturing is inevitable. Our operative results suggest that anastomosis to a superficial branch of the ACA just distal to the interhemispheric fissure seems to be preferable to anastomosis using vein graft, and we recommend the option of vein graft only when the STA cannot be used.
pubmed:language
jpn
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0301-2603
pubmed:author
pubmed:issnType
Print
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
171-6
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1992
pubmed:articleTitle
[STA-ACA anastomosis with interposed vein graft; a case report].
pubmed:affiliation
Department of Neurosurgery, National Cardiovascular Center, Osaka, Japan.
pubmed:publicationType
Journal Article, English Abstract, Case Reports