Aksik I A
Zh Vopr Neirokhir Im N N Burdenko. 1983 Nov-Dec(6):19-25.
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.
本文论述了应用4条交叉缝线、纤维蛋白原-凝血酶胶和止血海绵建立端侧微血管吻合术的实验结果及技术。对54例患者采用该方法进行颅外微血管吻合术的临床结果分析表明，该方法在术后相对早期具有良好功能，操作相对简单且易于实施，手术时间缩短。该手术可用于脑缺血性病变患者的外科治疗，也可作为对巨大动脉瘤、颈动脉海绵窦吻合术等脑血管进行直接干预之前的“预防性操作”。
