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

Reinert, Michael; Verweij, Bon H.; Schaffner, Thomas; Mihalache, George; Schroth, Gerhard; Seiler, Rolf W.; Tulleken, Cornelis A.F.

doi:10.3171/jns.2006.105.5.758

Cited by 10 publications

(6 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 The 1-month C-Port xA anastomosis site showed only minimal intimal hyperplasia, a phenomenon we previously demonstrated in a study by using an ePTFE vessel graft in a similar endto-side anastomosis on the abdominal aorta of the rabbit for a follow-up period of 180 days. 9 These in vivo studies did show good feasibility for vascular anastomosis created with the C-Port xA as evidenced by excellent short patency and low complication rates. Further clinical studies with this product will be beneficial in providing data on longterm patency in cerebral bypass.…”

Section: In Vivo Craniotomy Simulation Studiesmentioning

confidence: 70%

Automated end-to-side anastomosis to the middle cerebral artery: a feasibility study

Bregy

Alfieri

Demertzis

et al. 2008

JNS

Self Cite

View full text Add to dashboard Cite

show abstract

Section: In Vivo Craniotomy Simulation Studiesmentioning

confidence: 70%

Automated end-to-side anastomosis to the middle cerebral artery: a feasibility study

Bregy

Alfieri

Demertzis

et al. 2008

JNS

Self Cite

View full text Add to dashboard Cite

show abstract

“…The histological examination showed the proliferation of the smooth muscle cells and their migration to the intimal wall and the reepithelization of the inner side of the ePTFE as previously demonstrated [16]. A new vascularized adventitia covered the gaps and prevented bleeding.…”

Section: Resultsmentioning

confidence: 78%

“…After performing the end-to-side sealant-enhanced anastomosis, the bypass was accomplished using the excimer laser catheter (X80; Spectranetics International BV, Leusden, The Netherlands) into the bypass graft using the ELANA protocol as previously described [15,16]. High vacuum suction with a compressor for 120 s was applied in all cases.…”

Section: Methodsmentioning

confidence: 99%

Glue-Enhanced Excimer Laser-Assisted Nonocclusive Anastomosis: A Laboratory Investigation

Alfieri

Reinert

2010

Eur Surg Res

Self Cite

View full text Add to dashboard Cite

Background/Aims: The excimer laser-assisted nonocclusive anastomosis (ELANA) technique has been developed as a clinical effective technique to perform intracranial high-flow bypass without temporary occlusion of cerebral vessels in otherwise untreatable or high-risk cerebrovascular diseases. We experimentally tested the application of a nonabsorbable cyanoacrylate-based sealant with the ELANA technique. Methods: Three technical in vitro variations of the ELANA anastomosis technique using Omnex^© glue and expanded polytetrafluoroethylene tube were compared with conventional sutured ELANA bypasses, resulting in 36 bypasses and 72 anastomoses. After that, the best resulting type was tested in 10 rabbits. Results: The ELANA bypass using Omnex and the expanded polytetrafluoroethylene tube technique offers better results in vitro in the retrieval of the arterial wall flap after arteriotomy, is faster, and the tensile strength of the bypasses performed with Omnex is comparable with those performed with conventional sutures. However, in 2 cases, we observed thrombosis of the vessel and considerable stiffness. Conclusions: The combining of the ELANA technique with 2-octyl cyanoacrylate and butyl lactoyl cyanoacrylate experimentally provides some advantages over the conventional ELANA technique. Further experimental studies should be performed in order to improve the safety and applicability of this technique.

show abstract

“…5,9) Interposition of synthetic vascular graft is rarely performed for carotid ar- tery reconstruction because of the risk of thromboembolic complications, but this procedure was very effective in our case. 6,10) The carotid artery in our case was damaged so irregularly and severely that end-to-end suturing without a graft was impossible. Radial artery graft was not realistic in this emergency situation.…”

Section: Discussionmentioning

confidence: 95%

Emergent Surgical Repair for Penetrating Injury of the Cervical Carotid Artery Associated With Shock -Case Report-

Hara

Yamashita

Ohta

et al. 2009

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

A 41-year-old male presented with penetrating carotid artery injury after being stabbed in the left neck with a knife. He had profuse bleeding from the wound and was in hemorrhagic shock. No neuroimaging evaluation was possible, so emergent surgery was begun with continuous manual compression of the left neck. Graft reconstruction of the injured carotid artery was performed. He recovered well without neurological deficits. Urgent hemostasis is required for patients with penetrating carotid artery injury presenting with shock. Surgical reconstruction of the carotid artery with a vascular graft is a safe option.

show abstract

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

Abstract: The ELANA technique in combination with the ePTFE graft seems to have favorable attributes for end-to-side anastomoses and may be suitable for bypass procedures.

Cited by 10 publications

References 21 publications

Automated end-to-side anastomosis to the middle cerebral artery: a feasibility study

Automated end-to-side anastomosis to the middle cerebral artery: a feasibility study

Glue-Enhanced Excimer Laser-Assisted Nonocclusive Anastomosis: A Laboratory Investigation

Emergent Surgical Repair for Penetrating Injury of the Cervical Carotid Artery Associated With Shock -Case Report-

Contact Info

Product

Resources

About