Editorial: The feasibility of the new sutureless excimer laser–assisted non-occlusive anastomosis clip in a rabbit model

Excerpt

Complex revascularization procedures sometimes have to go beyond the standard STA-MCA bypass procedure in order to deliver adequate amounts of blood flow, either for flow augmentation or flow replacement. Here, revascularization procedures with large caliber vessel grafts, such as the radial artery or saphenous vein, are applied. For those, the proximal anastomosis is typically located at the external carotid artery, the internal maxillary artery, or a prominent stump of the superficial temporal artery, and the distal anastomosis is located at the internal carotid artery of M1/M2 segments which will provide a good drain of the delivered blood. The typical use case for flow replacement with a large caliber graft is the reconstruction of the vascular tree in order to treat a complex aneurysm. The majority of complex aneurysms are giant, fusiform, or partially thrombosed/calcified, with the need for sacrificing the diseased vessel segment and revascularizing the dependent vascular territory with a bypass, as the only durable strategy for aneurysm exclusion. …