バイパス手術を成功させるためのさまざまな工夫  [in Japanese] Technical Key Points and Devices for EC-IC Bypass Surgery to Decrease the Operative Complication  [in Japanese]

EC-IC bypass surgery to prevent cerebral ischemia must be performed carefully and safely. We apply several techniques and devices to reduce the operative risk as much as possible by: preoperatively planning for redistribution of cerebral blood supply as selection of the recipient and the supplied part, arranging the operative field to ensuring the working space and control of epidural bleeding or cerebral spinal fluid (CSF) and avoiding postoperative skin trouble by preserving blood flow in the subcutaneous layer just under skin incision. Recently we tried a new retractor by firmly attaching an extremely small tube to control CSF easily in the operative field. These techniques and devices very effectively reduce complications.