Avtor/Urednik		Dolenc, VV
Naslov		The necessity fo intracavernous ICA reconstruction
Tip		članek
Vir		Neurosurgeons
Vol. in št.		Letnik 10
Leto izdaje		1991
Obseg		str. 299-307
Jezik		eng
Abstrakt		Direct microneurosurgical treatment of tumorous and vascular lesions of the cavernous sinus (CS) eventually became an integral part of routine neurosurgical procedures. In many cases a segment of the intracavernous carotid artery (ICA) is so diseased or injured that reconstruction is necessary, following radical excision of the lesion. Reconstruction of the ICA may be done in three ways: local, direct, or complete. In local reconstruction the wall of the ICA is repaired using either interrupted suture or different kinds of clips or a combination of both methods. The direct method of reconstruction requires both the excision of the lesion together with the diseased segment of the CS ICA as well as the mobilization of the stumps of the artery, followed by an end-to-end suture. In complete reconstruction of the ICA, a venous graft, using end-to-end or end-to-side reconstruction, replaces the segment which has been excised together with the lesion. Various pathologies necessitating the reconstruction of the ICA are briefly described and different reconstructions of the ICA are discussed.
Deskriptorji		CAVERNOUS SINUS CAROTID ARTERY, INTERNAL VEINS BRAIN NEOPLASMS CEREBRAL ANEURYSM CEREBRAL REVASCULARIZATION SURGICAL FLAPS