Rinaldo Lorenzo, Meyer Fredric B, Van Gompel Jamie J
Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA.
Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota, USA.
Oper Neurosurg (Hagerstown). 2021 Apr 15;20(5):E362. doi: 10.1093/ons/opab056.
Dr Thoralf Sundt III joined the department of neurosurgery at Mayo Clinic in 1969 and served as chairman from 1980 until his death in 1992. Dr Sundt was a pioneer in the field of cerebrovascular neurosurgery and among his many contributions to neurosurgical technology was the introduction of the Sundt clip graft (Codman, Raynham, Massachusetts), which was developed in partnership with Dr George Kees. This device is a vessel-encircling Teflon or Dacron graft loaded on a circular metallic spring initially designed to repair injuries to vessel walls during intracranial aneurysm surgery,1 which was not an uncommon complication resulting from the use of contemporary aneurysm clips.2 When used for this purpose, the clip graft has demonstrated both safety and efficacy in a modern series of surgical treatment of intracranial aneurysm.3 An additional application of the clip graft is the direct clipping of aneurysms, particularly side-wall aneurysms, though Dr Sundt recognized that the potential to occlude perforating arteries adjacent to the aneurysm neck would limit the general use of the clip graft for aneurysm clipping.2 In the following video, we present archival footage of Dr Sundt utilizing the Sundt clip graft during intracranial aneurysm surgery. The 3 cases are of the treatment of posterior communicating, middle cerebral, and anterior communicating artery aneurysms and depict the potential applications of the clip graft during aneurysm surgery. We also present footage of animal experiments Dr Sundt performed to validate the use of the clip graft. This footage likely represents some of the first microscopic neurosurgical recordings ever made. The patients consented to the procedure and to presentation of video recordings at the time of initial surgery. Image of Sundt at 0:11, Reproduced with permission from the American Association of Neurological Surgeons, 5550 Meadowbrook Dr, Rolling Meadows, IL 60008. Figures at 2:26 and 2:28, from Park PJ, Meyer FB, The Sundt clip graft, Neurosurgery, 2010;66(6 suppl operative):300-305, by permission of the Congress of Neurological Surgeons. Figure at 2:35, ©2009 Mayo, Clingman. Used with permission.
索尔阿尔夫·桑特三世医生于1969年加入梅奥诊所神经外科，并于1980年至1992年去世期间担任该科室主任。桑特医生是脑血管神经外科领域的先驱，他对神经外科技术的诸多贡献之一是引入了桑特夹式移植物（科德曼公司，马萨诸塞州雷纳姆），该移植物是与乔治·基斯医生合作开发的。这种装置是一种环绕血管的聚四氟乙烯或涤纶移植物，装载在一个圆形金属弹簧上，最初设计用于在颅内动脉瘤手术中修复血管壁损伤，1颅内动脉瘤手术中使用当代动脉瘤夹时，血管壁损伤是一种并不罕见的并发症。2当用于此目的时，夹式移植物在现代一系列颅内动脉瘤手术治疗中已证明了安全性和有效性。3夹式移植物的另一个应用是直接夹闭动脉瘤，特别是侧壁动脉瘤，不过桑特医生认识到，夹闭动脉瘤颈部附近穿支动脉的可能性会限制夹式移植物在动脉瘤夹闭中的广泛应用。2在以下视频中，我们展示了桑特医生在颅内动脉瘤手术中使用桑特夹式移植物的存档 footage。这3个病例是关于后交通动脉、大脑中动脉和前交通动脉动脉瘤的治疗，展示了夹式移植物在动脉瘤手术中的潜在应用。我们还展示了桑特医生为验证夹式移植物的使用而进行的动物实验的footage。这段footage可能代表了有史以来最早的一些显微神经外科手术记录。患者在初次手术时同意了该手术及视频记录的展示。0:11处桑特医生的图像，经美国神经外科医生协会许可复制，地址为伊利诺伊州罗灵梅多斯市梅多布鲁克大道5550号，邮编60008。2:26和2:28处的图片，来自朴PJ、迈耶FB，《桑特夹式移植物》，《神经外科》，2010年；66(6增刊手术版):300 - 305，经神经外科医生大会许可。2:35处的图片，©2009梅奥，克林曼。经许可使用。
