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| Language | English |
| Format | PDF (Premium Digital) |
| Ownership | Permanent download — yours forever |
Microvascular Anastomoses for Cerebral Ischemia by Jm Fein
We have witnessed a remarkable development during the past 10 years in the development of extra-intracranial anastomosis to revascularize the brain. Initially, the intention was to create ameans of performing embolectomy in small corticaI arteries after cardiac surgery. Gradually a plan was conceived to form an extra-intracranial bypass(10) to treat inaccessible lesions of the carotid and vertebral arteries as weIl as tumors and giant aneurysms that involved these arteries. The basic techniques and principles of microvascular sur- gery, which had been refined over 30 years on peripheral ar- teries(1-7, 9) were applied in 1966 to the intracerebral arteries of dogs(4). The arterial patehing and suturing were successful, while extra-intracraniallong bypasses were a constant failure. This was attributed to the damage that was inevitably inflicted on the vasa vasorum of the autogenous graft during dissec- tion(9). This situation posed a dilemma until eventually the idea of Pool and Potts(8) was adopted and an anastomosis was performed on a dog between the superficiaI temporaI artery and a cortical branch. Because of the vesseIs' small size and the doubts regarding its capacity for improving the circulation, the procedure was performed with a certain amount of apprehen- sion. It was a pleasant surprise, therefore, to discover that it was possible to attain a high rate of patency. If the middle cerebral artery was us ed and was isolated from its carotid in- flow, an even higher rate was achieved.| SKU | NLS9781461299134 |
|---|---|
| ISBN 13 | 9781461299134 |
| ISBN 10 | 1461299136 |
| Author | Jm Fein |
| Condition | New |
| Binding Type | Paperback |
| Publisher | Springer-Verlag New York Inc. |
| Year published | 2011-11-19 |
| Number of pages | 324 |
| Cover note | Book picture is for illustrative purposes only, actual binding, cover or edition may vary. |
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"Kindle Unlimited kept raising prices. This is a one-time purchase and the file is permanently on my iPad. Best decision I've made for my reading habit."
"I compared Kindle vs this store. Kindle is cheaper monthly but you don't own anything. Here I paid once and the PDF is mine for life. Highly recommend."
"Left Kindle behind after they removed a book I was reading mid-series. With this PDF, nobody can take it away from me. True ownership feels good."
"Was skeptical about paying $18.95 when Kindle shows $3.99, but then I did the math — Kindle Unlimited is $143/year! This is way better value long term."
"Love that I can read this on any device without installing the Kindle app. The PDF works on my laptop, phone, and tablet seamlessly. So much freedom."
"My Kindle subscription was getting expensive. Switched to buying PDFs here and I'm saving money while actually building a permanent digital library I control."
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