FIELD: medicine.
SUBSTANCE: in the planning of mini-access for creation of extra-intracranial microanastomosis, brain MSCT-angiography in 3D reconstruction is used. At that, mini-access is performed through a cutaneous incision in the projection of the superficial temporal artery (STA) branch, which is determined in the three-dimensional image in the visualization program and has a minimum distance to the recipient artery optimal in size and localization. Incision line is marked in 3D reconstruction by measuring the distance from the point of intersection of the main trunk or the parietal STA branch with the zygomatic arch to the chosen access point, which is located in the middle of the access.
EFFECT: increased accuracy of mini-access planning with access to the recipient artery, which may be the middle cerebral artery, as well as reduced operation time, reduced tissue trauma, reduced blood loss, better cosmetic effect, with complete exception of marginal wound necrosis formation, method simplification with application of available software.
13 dwg, 1 ex
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Authors
Dates
2017-12-07—Published
2016-06-17—Filed