[Combined method of creating extra-intracranial microvascular anastomoses using biological adhesives (experimental-clinical study)].

The article deals with the experimental results and the technique of the establishment of end to side microvascular anastomosis with the application of 4 crossed sutures and the use of fibrinogen-thrombin glue and hemostatic sponge. Analysis of the clinical results of the establishment of an extra-intracranial microvascular anastomosis by the suggested method in 54 patients showed its good function in a relatively early post-operative period, comparative simplicity and accessibility of performance, and a gain in the duration of the operation. The operation may be used in the surgical treatment of patients with ischemic lesions of the brain as well as a "prophylactic manipulation" immediately before direct intervention on the cerebral vessels for giant aneurysm, carotido-cavernous anastomosis, etc.