Usefulness of an ultrasonic scalpel to harvest and skeletonize the superficial temporal artery for extracranial-intracranial bypass surgery

Neurosurgery
Kojiro WadaTakashi Takahara

Abstract

A new method to harvest and skeletonize the superficial temporal artery (STA) using an ultrasonic scalpel is presented. The technique is simple and safe, and reduces bleeding. We also investigated histopathological changes in donor vessels and whether it is possible to shorten the time needed for STA harvesting using the ultrasonic scalpel. Between January 1, 2005, and December 31, 2007, 31 consecutive patients underwent STA and middle cerebral artery anastomosis surgery in our hospital. All patients underwent harvesting of both the frontal and parietal branches of the STA. STA harvesting using an ultrasonic scalpel was performed in 18 of the 31 patients. We compared the time needed for STA harvesting by dividing patients into 2 groups: a non-ultrasonic scalpel group and an ultrasonic scalpel group. We also examined the histopathological changes by application of ultrasonic waves on the STA in the 6 most recent patients. The mean time needed for STA harvesting was 84.2 +/- 14.1 minutes for the non-ultrasonic scalpel group and 55.1 +/- 15.2 minutes for the ultrasonic scalpel group. The ultrasonic scalpel group showed a significantly shorter harvesting time than the non-ultrasonic scalpel group (P < 0.01). No histopathological ch...Continue Reading

References

Nov 1, 1984·Annals of Neurology·W J PowersM E Raichle
Jan 1, 1982·Archiv für Psychiatrie und Nervenkrankheiten·K Moritake, O Gratzl
May 1, 1994·Surgical Endoscopy·J H Payne
Oct 3, 1998·JAMA : the Journal of the American Medical Association·R L GrubbW J Powers
Jun 25, 2002·The Annals of Thoracic Surgery·Atsushi AmanoHitoshi Hirose
Nov 21, 2002·The Annals of Thoracic Surgery·Tohru Asai, Shigeki Tabata
May 9, 2003·The Annals of Thoracic Surgery·Takashi UedaAkira Yoshioka
Jun 25, 2003·The Heart Surgery Forum·Hitoshi HiroseSyuichirou Takanashi
Jan 30, 2004·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Masaru YoshikaiJunji Yunoki
Jun 3, 2004·The Annals of Thoracic Surgery·Thanos AthanasiouRoberto Casula
Aug 29, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kazuhisa MatsumotoRyuzo Sakata
Jan 27, 2007·Plastic and Reconstructive Surgery·Eman Elazab Beheiry, Fathia Ahmed Mohamed Abdel-Hamid
Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Masaru YoshikaiHideyuki Fumoto

❮ Previous
Next ❯

Citations

Dec 19, 2017·Operative Neurosurgery·Joji TokugawaHiroyasu Kamiyama

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
R K WolfJ B Flege
Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Nazzareno StellaMaurizio Taurino
© 2022 Meta ULC. All rights reserved