Nearly 400 years ago, Thomas Willis gave the most detailed anatomic description of the
arterial anastomosis at the base of the brain, surrounded by cerebrospinal fluid.
Arterial anastomosis was done with the facial artery and two veins were anastomosed, one with the Internal jugular vein which was an end to side anastomosis and the other end to end anastomosis with a tributary of Internal jugular vein.
--Receptor: Age, sex, blood type, comorbidities, body mass index, smoking status, previous transplantation, HLA mismatch, pre-transplant anti-T panel reactive antibodies (PRA %), donor-specific HLA antibodies, pre-transplant diuresis, induction and maintenance scheme, BK virus infection, CMV infection, 5-day follow-up ultrasonography data (hydronephrosis, perigraft fluid collection, distal intrarenal resistive index), perioperative complications (lymphocele, hematoma, urinoma, urinary fistula,
arterial anastomosis stenosis), positive urine culture, acute rejection.
[15,20,23] The diameter of SUPBRA is suitable for digital
arterial anastomosis. These measurements are closer to the diameter of the digital artery which makes SUPBRA an ideal free flap for repairing digital defects and facilitating anastomosis.
During surgery,
arterial anastomosis was observed with progressive decrease of the thrill.
Two implantable Doppler probes were utilized distal to the
arterial anastomosis beyond the bifurcation point to the skin paddle and bone.
Arterial anastomosis is crucial for the survival of the replanted part.
* Stay within fistula needle length from the
arterial anastomosis.
The lack of
arterial anastomosis in the neighbouring segments will affect only the affected segment and it will neither produce ischaemia nor interfere with the blood supply of the neighbouring segments.
More than one
arterial anastomosis was a significant hazard in the univariate regression but did not reach significance (p = 0.069) in the multivariate regression analysis.
With the widespread use of prenatal care, as well as early ASO, preoperative left ventricular function assessment and training, intraoperative-enhanced myocardial protection, and the improvements in coronary
arterial anastomosis, the incidence of postoperative left ventricular dysfunction has been drastically reduced.
An end-to-side
arterial anastomosis to the left branch of the ABFB was performed and an end-to-side venous anastomosis to the external iliac vein with no significant complications was performed.