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A D V E R T I S E M E N T
A D V E R T I S E M E N T
The radial artery graft was passed through the pediatric endotracheal tube. The distal end of the graft was spatulated. The patient was placed in burst suppression using Propofol. The proximal clip was applied to the middle cerebral artery, followed by the distal clip. An arteriotomy was performed in the exposed wall of the M2 segment of the middle cerebral artery. The anastomosis was fashioned with an intermittent 8-0 Prolene suture. The heel stitch was placed first.
A D V E R T I S E M E N T
The completed distal anastomosis is shown. Upon completion of the distal anastomosis the distal clip was removed to allow the back-bleeding of the graft. Flow into the graft was checked with doppler. The distal clip was replaced.
Notes:
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A D V E R T I S E M E N T
The common carotid was chosen as the optimal site for the proximal anastomosis. The artery was controlled with vascular clamps and a linear arteriotomy was created. The graft length was tailored and the end was spatulated.
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This page was last modified on 6/4/2002.
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