Cerebral Revascularization

Streefkerk, Henk Johan; Zwan, Albert van der; Verdaasdonk, Rudolf M.; Beck, Hendricus J. Mansvelt; Tulleken, C. A. F.

doi:10.1007/978-3-7091-0641-9_3

Cited by 20 publications

(2 citation statements)

References 173 publications

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“…This bypass technique necessitates a vascular graft interposition. 2,6,18 An autologous graft is the ideal bypass conduit in arterial reconstruction, for which either a venous graft, such as a saphenous vein, or an arterial graft, such as a radial artery, may be considered. For the ELANA procedure a venous graft is preferred over an arterial graft for technical handling in terms of the thickness of the platinum ring-vessel complex and its rigidity for laser catheter introduction.…”

mentioning

confidence: 99%

Expanded polytetrafluoroethylene graft for bypass surgery using the excimer laser–assisted nonocclusive anastomosis technique

Reinert

Verweij

Schaffner

et al. 2006

JNS

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mentioning

confidence: 99%

Expanded polytetrafluoroethylene graft for bypass surgery using the excimer laser–assisted nonocclusive anastomosis technique

Reinert

Verweij

Schaffner

et al. 2006

JNS

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“…The ELANA technique has been well described in the literature both in the early laboratory animal phase as well as the more recent clinical results and case reports. 14,36,[38][39][40][41][42][43][44][45][46][47][48] Patients selected for ELANA have either failed balloon-occlusion tests or demonstrate local anatomy by angiography that makes carotid sacrifice high risk. The technique involves the attachment of an anastomotic ring to a recipient artery of at least 3 mm in diameter either on its own or as part of the distal donor vessel (Fig.…”

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confidence: 99%

ELANA: Excimer Laser-Assisted Nonocclusive Anastomosis for Extracranial-to-Intracranial and Intracranial-to-Intracranial Bypass: A Review

Langer

Vajkoczy²

2005

Skull Base

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ELANA, excimer laser-assisted nonocclusive anastomosis, is a technique using an excimer laser/catheter system for intracranial bypass surgery of the brain. The technique has been developed over the past 12 years by Tulleken and colleagues at UMC Utrecht in The Netherlands for treatment of primarily untreatable giant aneurysms. We review here the emergence of transplanted conduit bypass as a valuable technique for managing these lesions and the subsequent development of ELANA bypass. The ELANA technique allows the operating surgeon to perform an extracranial-to-intracranial or intracranial-tointracranial bypass using a transplanted large caliber conduit without occlusion of the recipient artery, thus eliminating intraoperative ischemic insult related to temporary occlusion time. We describe the ELANA technique, illustrate it with intraoperative photos, and review the relevant literature. ELANA is shown to be safe; we discuss its advantages over conventional techniques.KEYWORDS: Excimer laser-assisted nonocclusive bypass, extracranial-tointracranial bypass, high-flow bypass ELANA, excimer laser-assisted nonocclusive anastomosis, is a technique using an excimer laser/catheter system that has been developed over the past 12 years by Tulleken and colleagues in UMC Utrecht. The technique and system have been designed for the purpose of treating primarily giant or untreatable aneurysms of the intracranial circulation. The ELANA technique allows the operating surgeon to perform an extracranial-tointracranial (EC-IC) or intracranial-to-intracranial Skull Base, volume 15, number 3, 2005. Address for correspondence and reprint requests:

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