Vascular and Functional Neurosurgery Department, National Centre for Neurosurgery, Astana, Kazakhstan.
Hospital Management Department, National Centre for Neurosurgery, Astana, Kazakhstan.
Acta Neurochir (Wien). 2024 Oct 14;166(1):405. doi: 10.1007/s00701-024-06305-6.
This technical note introduces the novel faucet technique, which enables neurosurgeons to evaluate the patency of a bypass during superficial temporal artery-middle cerebral artery bypass surgery. The technique is particularly useful when there is a lack of equipment such as micro-Doppler or indocyanine green in the operating rooms. This is often the case in Central Asian countries.
The faucet technique involves carefully examining the graft by gently opening a valve, comparable to a faucet, to observe the blood flow through the bypassed vessel. Overall, 36 procedures underwent the faucet technique for assessing the superficial temporal artery-middle cerebral artery bypass patency.
The results indicate that the bypass remained patent in all cases, as confirmed through the intraoperative faucet technique, postoperative magnetic resonance angiography, or cerebral angiography.
By visually inspecting the blood flow through the faucet technique, surgeons can confirm the effectiveness of the graft and ensure that the bypass remains unobstructed during the surgery.
本技术说明介绍了一种新的水龙头技术，使神经外科医生能够在颞浅动脉-大脑中动脉搭桥术中评估旁路的通畅情况。当手术室缺乏微多普勒或吲哚菁绿等设备时，该技术特别有用。这种情况在中亚国家经常发生。
水龙头技术包括通过轻轻打开一个类似于水龙头的阀门仔细检查移植物，以观察血流通过旁路血管。共有 36 例手术采用水龙头技术评估颞浅动脉-大脑中动脉旁路通畅情况。
结果表明，通过术中水龙头技术、术后磁共振血管造影或脑血管造影证实，所有情况下旁路均保持通畅。
通过水龙头技术观察血流，可以确认移植物的有效性，并确保旁路在手术过程中保持通畅。
