Interpositional vein grafting for significant size discrepancy: the important role for short, sequential grafts in step-up and step-down microvascular anastomoses

Author(s):  
Kavan S. Johal ◽  
Hung-Chi Chen
Hand Surgery ◽  
2012 ◽  
Vol 17 (03) ◽  
pp. 413-417 ◽  
Author(s):  
Tolga Turker ◽  
Tsu-Min Tsai ◽  
Sunil Thirkannad

The problem of size discrepancy between vessels during microvascular procedures is well known. Inability to successfully overcome this problem can lead to turbulent flow at the anastomotic site with consequent thrombosis. Various techniques have been described to overcome this problem. We describe two techniques that have been used for over two decades in our institution. Both these techniques enable the surgeon to overcome far more significant size mismatches than other available techniques while still allowing for end-to-end anastomosis.


2009 ◽  
Vol 17 (4) ◽  
pp. 422-424 ◽  
Author(s):  
Atsushi Tateishi ◽  
Masaaki Kawada ◽  
Hideki Morita ◽  
Shingo Kasahara ◽  
Shunji Sano

We describe successful primary repair of 2 cases of transposition complex with aortic arch obstruction. A new aortic arch was reconstructed by direct anastomosis between the well-mobilized ascending aorta and the descending aorta. The neoaortic root with transferred coronary arteries was subsequently anastomosed to the undersurface of this new aortic arch. This technique deals with the significant size discrepancy between the 2 great arteries, and anomalous coronary artery patterns.


Author(s):  
A. Yamanaka ◽  
H. Ohse ◽  
K. Yagi

Recently current effects on clean and metal adsorbate surfaces have attracted much attention not only because of interesting phenomena but also because of practically importance in treatingclean and metal adsorbate surfaces [1-6]. In the former case, metals deposited migrate on the deposit depending on the current direction and a patch of the deposit expands on the clean surface [1]. The migration is closely related to the adsorbate structures and substrate structures including their anisotropy [2,7]. In the latter case, configurations of surface atomic steps depends on the current direction. In the case of Si(001) surface equally spaced array of monatom high steps along the [110] direction produces the 2x1 and 1x2 terraces. However, a relative terrace width of the two domain depends on the current direction; a step-up current widen terraces on which dimers are parallel to the current, while a step-down current widen the other terraces [3]. On (111) surface, a step-down current produces step bunching at temperatures between 1250-1350°C, while a step-up current produces step bunching at temperatures between 1050-1250°C [5].In the present paper, our REM observations on a current induced step bunching, started independently, are described.Our results are summarized as follows.(1) Above around 1000°C a step-up current induces step bunching. The phenomenon reverses around 1200 C; a step-down current induces step bunching. The observations agree with the previous reports [5].


2006 ◽  
Vol 39 (20) ◽  
pp. 54
Author(s):  
SHERRY BOSCHERT
Keyword(s):  

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