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(Stroke. 1972;3:34.)
© 1972 American Heart Association, Inc.

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Rapid Microvascular Repair Using Plastic Adhesive

Akira Shintani M.D.¹; Nicholas T. Zervas M.D.²; Akio Kuwayama M.D.³

¹ Clinical Fellow of Harvard Medical School, Department of Neurosurgery, Harvard Medical School and Beth Israel Hospital, 330 Brookline Avenue, Boston, Massachusetts, 02215
² Associate Professor of Harvard Medical School, Department of Neurosurgery, Harvard Medical School and Beth Israel Hospital, 330 Brookline Avenue, Boston, Massachusetts, 02215
³ Research Fellow of Harvard Medical School, Department of Neurosurgery, Harvard Medical School and Beth Israel Hospital, 330 Brookline Avenue, Boston, Massachusetts, 02215

Simple longitudinal arteriotomy was carried out in rabbits to assess the use of a rapid-setting tissue adhesive in shortening the time necessary to carry out microvascular repair. The vessels studied varied from 0.8 to 1.5 mm in diameter and repair was carried out using microsurgical dissection. It was found that the use of the tissue adhesive in conjunction with three sutures would bring about satisfactory repair of the arteriotomy for shortening the time of repair by at least 50%. Toxic reactions or other complications common to micro-anastomosis of small vessels were not encountered with any greater frequency than in controls.

Key Words: Aron Alpha A Sankyo (AAS) • anastomosis • blood vessel • cerebral artery • arteriotomy