Seven Bypasses – Tenets and Techniques for Revascularization

Section I: Three Anastomoses 1 End-to-Side Anastomosis 2 Side-to-Side Anastomosis 3 End-to-End Anastomosis Section II: Ten Tenets 4 Dexterity 5 Donors and Recipients 6 In the Zone 7 Cross Clamp 8 Arteriotomy 9 Suturing Techniques 10 Tissue Handling 11 Tightening and Knotting 12 Bypass Patency 13 Aneurysm Occlusion Section III: Seven Bypasses 14 Extracranial-Intracranial Bypass 15 Extracranial-Intracranial Bypass with Interposition Graft 16 Reimplantation 17 In-Situ Bypass 18 Reanastomosis 19 Intracranial-Intracranial Bypass with Interposition Graft 20 Combination Bypasses Section IV: Bypass Strategy 21 MCA Bypass Strategy 22 ACA Bypass Strategy 23 Basilar Artery Bypass Strategy 24 PICA Bypass Strategy Section V Conclusion