Fibrin Adhesives in Intracranial Microvascular Surgery

Kletter, G.

doi:10.1007/978-3-642-71391-0_18

Cited by 2 publications

(5 citation statements)

References 2 publications

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“…At 48 days postoperatively, Kletter [87,95] reported reduced intra-and extravascular clot formation, necrosis, giant cells, and scar formation, with a more regular vessel wall formation in FG plus 4-to 6-suture anastomoses compared to 8-to 12-suture anastomoses. Thirty percent of their sutureless FG anastomoses developed aneurysms at the anastomotic site [95].…”

Section: Reduced Suture Fibrin Glue Anastomosesmentioning

confidence: 99%

“…The 8 to 12 sutures required for anastomosis of vessels of 1 mm or less result in reduced diameter, focal medial damage, leakage, thrombosis, ischemia, necrosis, and stenosis in vessels of 1 mm or less [51,92,94,95]. Many investigators suggest that reduced suture FG vascular anastomoses reduce the risk of these complications [24,61,85,[95][96][97][98][99][100][101][102][103][104].…”

Section: Reduced Suture Fibrin Glue Anastomosesmentioning

confidence: 99%

“…Many investigators suggest that reduced suture FG vascular anastomoses reduce the risk of these complications [24,61,85,[95][96][97][98][99][100][101][102][103][104]. Reduced suture vascular anastomosis can also be performed by less experienced surgeons in signi cantly shorter time [7,24,97,103,105].…”

Section: Reduced Suture Fibrin Glue Anastomosesmentioning

confidence: 99%

“…Thirty percent of their sutureless FG anastomoses developed aneurysms at the anastomotic site [95]. Pearl et al [7] utilized skin island pedicles incorporating experimental rat femoral artery and vein anastomoses to compare FG, reduced suture FG, and sutured anastomosis variants.…”

Section: Reduced Suture Fibrin Glue Anastomosesmentioning

confidence: 99%

“…The reduced suture FG technique was used routinely in 336 cases requiring extra-intracranial anastomoses by Kletter [87,95]. Three sutures joined the anterior walls of the temporal and carotid arteries before FG was applied.…”

Section: Reduced Suture and Sutureless Fibrin Glue Anastomosis In CLImentioning

confidence: 99%

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Sutureless and Reduced Suture Anastomosis of Hollow Vessels With Fibrin Glue: A Review

Detweiler

Fenton

1999

Journal of Investigative Surgery

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Research in reduced suture fibrin glue (FG) and sutureless FG anastomosis has been lagging behind FG utilization in other surgical fields. A review of the literature for vascular, esophageal, tracheal, gastrointestinal, common bile duct, ureteral, vas deferens, and Fallopian tube FG anastomosis indicates that reduced suture FG and sutureless FG procedures may be performed with less training, reduced operating time, leakage, ischemia, inflammation, and necrosis compared to sutured techniques. Reduced suture FG vascular anastomosis augments early anastomotic strength. Suture number for esophageal, tracheal, and tracheobronchial anastomoses can be reduced with FG. Bursting strength in pig small intestine and rat colon was lower at 4 days postoperatively, but returned to sutured strength at 7 days. Mortality was unaffected, and 18-month follow-up in sutureless FG intestinal anastomosis in pigs showed no stenosis. Preliminary ureteral studies have demonstrated successful sutureless FG and reduced suture FG laparoscopic techniques in pigs. Reduced suture FG and sutureless FG vas deferens anastomosis may reduce sperm granuloma rates, with increased patency and pregnancy rates. Patency and pregnancy rates have been similar for tubal FG, reduced suture FG, autologous fibrin glue (AFG), and sutured anastomosis. Any risk of viral transmission or immune response is eliminated by AFG. While there are few studies in many areas of FG hollow vessel anastomosis, the current literature illustrates many of the advantages of FG over other anastomotic techniques and should provide impetus for continued research in this promising field of surgery.

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Section: Reduced Suture Fibrin Glue Anastomosesmentioning

confidence: 99%

Section: Reduced Suture Fibrin Glue Anastomosesmentioning

confidence: 99%

Section: Reduced Suture Fibrin Glue Anastomosesmentioning

confidence: 99%

Section: Reduced Suture Fibrin Glue Anastomosesmentioning

confidence: 99%

Section: Reduced Suture and Sutureless Fibrin Glue Anastomosis In CLImentioning

confidence: 99%

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Sutureless and Reduced Suture Anastomosis of Hollow Vessels With Fibrin Glue: A Review

Detweiler

Fenton

1999

Journal of Investigative Surgery

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The use of fibrin sealant in cerebrospinal fluid leakage

Pomeranz

Constantini²,

Umansky³

1991

Minim Invasive Neurosurg

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Cerebrospinal fluid leakage is one of the central problems facing neurosurgeons, both due to its occasional difficulty in management and to the catastrophical significance of ensuing infection. An important tool emerging in the surgical management of CSF leakage is fibrin sealant, the natural coagulation product. Thirteen cases of CSF leakage, due to meningomyelocele, posttraumatic, and secondary to tumor, that were managed surgically with fibrin sealant are presented. Several of the cases were successfully operated upon following failure of conventional surgical techniques. Additional uses of fibrin sealant in neurosurgery are discussed.

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Fibrin Adhesives in Intracranial Microvascular Surgery

Cited by 2 publications

References 2 publications

Sutureless and Reduced Suture Anastomosis of Hollow Vessels With Fibrin Glue: A Review

Sutureless and Reduced Suture Anastomosis of Hollow Vessels With Fibrin Glue: A Review

The use of fibrin sealant in cerebrospinal fluid leakage

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