Karir Aneesh, Tuckett Sydnee, Fomenko Anton, Kaufmann Anthony M, Buchel Edward W
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Manitoba, Winnipeg, Canada.
Division of Neurosurgery, Department of Surgery, University of Manitoba, Winnipeg, Canada.
Plast Surg (Oakv). 2024 May 6:22925503241249761. doi: 10.1177/22925503241249761.
While extracranial-intracranial (EC-IC) bypass is commonly performed by neurosurgeons with specific expertise in cerebrovascular surgery, they can also be performed together with microvascular plastic surgeons. At our institution, some EC-IC bypass cases have evolved to be performed by neurosurgeons and plastic surgeons in a combined approach. Given the plastic surgeons' expertise and volume of experience in performing microvascular surgery, their skills are utilized in performing the donor vessel dissection as well as the bypass itself. This paper outlines a Canadian perspective on collaboration between plastic surgeons and neurosurgeons in performing EC-IC bypass along with a case report illustrating the use of a dorsal hand Y-shaped vein graft for EC-IC bypass, which has not been described in the literature to date.
虽然颅外-颅内（EC-IC）搭桥手术通常由在脑血管手术方面具有特定专业知识的神经外科医生进行，但也可以由微血管整形外科医生共同完成。在我们机构，一些EC-IC搭桥病例已发展为由神经外科医生和整形外科医生联合进行。鉴于整形外科医生在微血管手术方面的专业知识和丰富经验，他们的技能被用于进行供体血管解剖以及搭桥手术本身。本文概述了加拿大关于整形外科医生和神经外科医生在进行EC-IC搭桥手术时合作的观点，并通过一个病例报告说明了在手背使用Y形静脉移植物进行EC-IC搭桥手术，这是迄今为止文献中尚未描述过的。
