Effects of needle shape on the integrity of the vascular endothelium.

Abstract:

:Lesions generated by the passage of micro-needles through vessel walls are of concern because any lesion may significantly alter hemodynamics of an anastomosis. To study this problem, three different needles were tested on the exposed carotid arteries of 30 rats: the 100 mu taper point, the 100 mu cutting point, and the 75 mu taper point. Trauma generated by the penetration of needles was tested first as the needle and its attached suture was passed through the vessel, then the suture was left in place. One hour after penetration, the arteries were prepared for scanning electron microscopy. Differences between the 100 mu taper point and the 75 mu taper point were significant in terms of size and extent of lesions. An arc of endothelial cells surrounding the wounds showed flattening, tissue destruction and clotting. To minimize endothelial trauma, taper point needles are superior to cutting needles. The 100 mu cutting needle caused damage to the vessel wall in tissue cutting on needle penetration, causing a slit-like incision, and in aggregation of platelets at the puncture site.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Dujovny M,Nossovsky N,Diaz FG,Ausman JI,Berman KS

doi

10.1007/BF01402308

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

62-7

issue

1-2

eissn

0001-6268

issn

0942-0940

journal_volume

77

pub_type

杂志文章
  • Pain and brachial plexus lesions: evaluation of initial outcomes after reconstructive microsurgery and validation of a new pain severity scale.

    abstract:BACKGROUND:Peripheral nerve lesions usually are associated with neuropathic pain. In the present paper, we describe a simple scale to quantify pain after brachial plexus injuries and apply this scale to a series of patients to determine initial outcomes after reconstructive surgery. METHODS:Fifty-one patients with tra...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-010-0709-3

    authors: Bonilla G,Di Masi G,Battaglia D,Otero JM,Socolovsky M

    更新日期:2011-01-01 00:00:00

  • Foramen ovale cannulation guided by intraoperative computed tomography with magnetic resonance image fusion plays a role in improving the long-term outcome of percutaneous radiofrequency trigeminal rhizotomy.

    abstract:BACKGROUND:Percutaneous radiofrequency trigeminal rhizotomy (RF-TR) is a well-established treatment for patients suffering from trigeminal neuralgia (TN) as a primary modality or for those refractory to medical treatment. However, few existing studies have identified intraoperative parameter or navigation technique tha...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-019-03941-1

    authors: Tsai PJ,Lee MH,Chen KT,Huang WC,Yang JT,Lin MH

    更新日期:2019-07-01 00:00:00

  • Decompressive craniectomy for medically refractory intracranial hypertension due to meningoencephalitis: report of three patients.

    abstract:BACKGROUND:Meningoencephalitis may sometimes cause medically refractory intracranial hypertension and brain herniation. In such patients death is common. There are a limited number of reports on the use of decompressive craniectomy as a life saving measure in these circumstances with some good results. The aim of the s...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-008-0019-1

    authors: Di Rienzo A,Iacoangeli M,Rychlicki F,Veccia S,Scerrati M

    更新日期:2008-10-01 00:00:00

  • Fatal tumoral hemorrhage after stereotactic radiosurgery for metastatic brain tumors: report of three cases and review of literature.

    abstract::Acute tumor hemorrhage occurring during stereotactic radiosurgery (SRS) for a metastatic lesion, or in the immediate post-treatment period, is believed to be extremely rare. The potential risk of hemorrhage related to SRS procedures in patients with metastatic brain tumors is not yet clearly understood. This case repo...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s00701-012-1447-5

    authors: Yomo S,Hayashi M

    更新日期:2012-09-01 00:00:00

  • Is systematic post-operative CT scan indicated after chronic subdural hematoma surgery? A case-control study.

    abstract:BACKGROUND AND AIMS:The aim of the present study was to evaluate the interest of systematic post-operative CT scan after unilateral chronic subdural hematoma (CSDH) evacuation. To achieve this goal, we chose to evaluate the ability of post-operative CT scan to predict the most frequent complication of CSDH: hematoma re...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-016-2820-6

    authors: Dudoit T,Labeyrie PE,Deryckere S,Emery E,Gaberel T

    更新日期:2016-07-01 00:00:00

  • Surgical experiences with giant intracranial aneurysms.

    abstract::The common method of presentation of intracranial aneurysms is at the time of their rupture (with subarachnoid haemorrhage) or on the occasion of their compression of neighbouring structures. While giant aneurysms may occasionally present with subarachnoid haemorrhage, their more common methods of presentation are due...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01400726

    authors: Symon L

    更新日期:1992-01-01 00:00:00

  • Implantation of a distractible titanium cage after cervical corpectomy: technical experience in 20 consecutive cases.

    abstract:BACKGROUND:This prospective observational study was undertaken to investigate the advantages, the safety, and the drawbacks of reconstructing a cervical corpectomy with a distractible corpectomy cage. According to the author's literature search, this is the second clinical report on a distractible cervical corpectomy c...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-006-0871-9

    authors: Payer M

    更新日期:2006-11-01 00:00:00

  • Phase shift and correlation coefficient measurement of cerebral autoregulation during deep breathing in traumatic brain injury (TBI).

    abstract:BACKGROUND:Impairment of cerebral autoregulation is known to adversely affect outcome following traumatic brain injury (TBI). The phase shift (PS) method of cerebral autoregulation (CA) assessment describes the time lag between fluctuations in arterial blood pressure (ABP) and cerebral blood flow velocity (CBFV) in the...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-007-1447-z

    authors: Lewis PM,Rosenfeld JV,Diehl RR,Mehdorn HM,Lang EW

    更新日期:2008-02-01 00:00:00

  • Incidentally detected parafalcine chondrosarcoma.

    abstract::Parafalcine chondrosarcoma is extremely rare, and may be difficult to differentiate preoperatively from falx meningioma. An 18-year-old woman presented with a parafalcine chondrosarcoma incidentally detected as a small lesion 2 years before admission, suggesting falx meningioma. Brain computed tomography and magnetic ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-005-0530-6

    authors: Tosaka M,Fukasawa Y,Takahashi A,Sasaki A,Saito N

    更新日期:2005-07-01 00:00:00

  • Management strategies of intercavernous sinus bleeding during transsphenoidal surgery.

    abstract:BACKGROUND:Transsphenoidal surgery has been well established as an effective primary treatment for tumours of the sellar region. During the dural opening, the prominent intercavernous sinus poses limitations for this approach and may contribute to incomplete tumour resections. METHOD:Based on our experience from 940 c...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0356-8

    authors: Kim EH,Ahn JY,Chang JH,Kim SH

    更新日期:2009-07-01 00:00:00

  • A source of haemorrhage in adult patients with moyamoya disease: the significance of tributaries from the choroidal artery.

    abstract::This study concerns 19 patients over 16 years of age with Moyamoya disease. Ten cases of intracranial haemorrhage, as the initial haemorrhagic event in patients aged from 21 to 55 (haemorrhagic group) and 9 cases of ischaemic events in 18- to 53-year-old patients (ischaemic group) were included. All haemorrhages were ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01411056

    authors: Irikura K,Miyasaka Y,Kurata A,Tanaka R,Fujii K,Yada K,Kan S

    更新日期:1996-01-01 00:00:00

  • Enhanced neuroregenerative effects by scaffold for the treatment of a rat spinal cord injury with Wnt3a-secreting fibroblasts.

    abstract:BACKGROUND:Wnt proteins are bifunctional axon guidance molecules, several of which appear to mediate guidance of corticospinal tract axons along the spinal cord. Here, we studied increasing effect on regeneration by Wnt-containing alginate scaffolds on spinal cord injury (SCI). METHODS:A total of 32 rats were injured ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-013-1663-7

    authors: Park JH,Min J,Baek SR,Kim SW,Kwon IK,Jeon SR

    更新日期:2013-05-01 00:00:00

  • The endoscopic intraventricular management of pineal cysts: a minimally invasive modus operandi.

    abstract:BACKGROUND:The management of pineal cysts is still debatable, especially for asymptomatic incidental ones. For symptomatic cysts associated with hydrocephalus, the surgical management is mandatory and may include either classical microsurgical approaches to the pineal region or endoscopic trans-ventricular approaches i...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-013-1849-z

    authors: Berhouma M,Ni H,Vallee B

    更新日期:2013-10-01 00:00:00

  • Spontaneous resolution of lumbar vertebral eosinophilic granuloma.

    abstract::Eosinophilic granuloma (EG) is a rare disease but is more common in adults than children. It's often self-limiting. Spinal involvement is rare. It is the localized and most benign form of Langerhans' cell histiocytosis (previously known as histiocytosis X), characterised by lytic lesions in one or more bones. Spontane...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-003-0182-3

    authors: Bavbek M,Atalay B,Altinörs N,Caner H

    更新日期:2004-02-01 00:00:00

  • Computerized tomography (CT) in patients with head injuries. Assessment of outcome based upon initial clinical findings and initial CT scans.

    abstract::In this study, which comprises 144 consecutive head injuries, the initial clinical assessment and the findings of the initial CT scan are related to the outcome. The mortality is related to the patient's level of consciousness and pupillary light reflex on admission. The disability rate (= number of disabled/number of...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405444

    authors: Espersen JO,Petersen OF

    更新日期:1982-01-01 00:00:00

  • Patients with idiopathic trigeminal neuralgia have a sharper-than-normal trigeminal-pontine angle and trigeminal nerve atrophy.

    abstract:BACKGROUND:Trigeminal neuralgia (TN) is primarily diagnosed by symptoms and patient history. Magnetic resonance (MR) imaging can be helpful in visualizing the neurovascular compression of the trigeminal nerve in TN patients, but the current parameters used as diagnostic markers for TN are less than optimal. The aim of ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-012-1327-z

    authors: Ha SM,Kim SH,Yoo EH,Han IB,Shin DA,Cho KG,Chung SS,Park YS

    更新日期:2012-09-01 00:00:00

  • The brain monitoring with Information Technology (BrainIT) collaborative network: EC feasibility study results and future direction.

    abstract:BACKGROUND:The BrainIT group works collaboratively on developing standards for collection and analyses of data from brain-injured patients and to facilitate a more efficient infrastructure for assessing new health care technology with the primary objective of improving patient care. European Community (EC) funding supp...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00701-010-0719-1

    authors: Piper I,Chambers I,Citerio G,Enblad P,Gregson B,Howells T,Kiening K,Mattern J,Nilsson P,Ragauskas A,Sahuquillo J,Donald R,Sinnott R,Stell A,BrainIT Group.

    更新日期:2010-11-01 00:00:00

  • A rare anomaly of the anterior communicating artery complex hidden by a large broad-neck aneurysm and disclosed by three-dimensional rotational angiography.

    abstract::Double fenestration of the anterior communicating artery (ACoA) complex associated with an aneurysm is a very rare finding and is usually caused by ACoA duplication and the presence of a median artery of the corpus callosum (MACC). We present a patient in whom double fenestration was not associated with ACoA duplicati...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-007-1401-0

    authors: de Oliveira JG,du Mesnil de Rochemont R,Beck J,Hermann E,Gerlach R,Raabe A,Seifert V

    更新日期:2008-03-01 00:00:00

  • Magnetic resonance angiography (MRA) of ruptured cerebral aneurysm.

    abstract::The purpose of this study was to evaluate the high resolution magnetic resonance angiography (MRA) as pre-operative angiography for the detection of ruptured cerebral aneurysms. MRA was performed on 1.5 tesla system using the 3-dimensional time of flight (3D-TOF) method. The field of view was 16 cm or 20 cm and matrix...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01400663

    authors: Houkin K,Aoki T,Takahashi A,Abe H,Koiwa M,Kashiwaba T

    更新日期:1994-01-01 00:00:00

  • Subdural haemorrhage following endoscopic third ventriculostomy. A rare complication.

    abstract::Subdural collections or hematomas are frequently observed after shunt placement [7-9, 13], but rarely after ETV [6]. A review of literature revealed 7 cases [1, 5, 6, 10, 12], of which only 1 was symptomatic [5]. We will discuss the causes, management, and methods of prevention of this complication and we will present...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-005-0715-z

    authors: Kamel MH,Murphy M,Aquilina K,Marks C

    更新日期:2006-05-01 00:00:00

  • Frequency and prognosis of delayed facial palsy after microvascular decompression for hemifacial spasm.

    abstract:BACKGROUND:Microvascular decompression (MVD) for hemifacial spasm (HFS) provides a long-term cure rate. Delayed facial palsy (DFP) is not an unusual complication, but it has only been sporadically described in the literature. The purpose of this report is to evaluate the incidence of delayed facial palsy after MVD and ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-006-0847-9

    authors: Rhee DJ,Kong DS,Park K,Lee JA

    更新日期:2006-08-01 00:00:00

  • Outcomes of multilobar resections for epilepsy in Sweden 1990-2013: a national population-based study.

    abstract:BACKGROUND:Reports on outcome after multilobar resection (MLR) are scarce and most are retrospective single-centre studies or case studies with few patients. The aim of this study is to present seizure and complication outcomes 2 years after MLR in a prospective population-based series. METHOD:The Swedish National Epi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-016-2807-3

    authors: Nilsson DT,Malmgren K,Flink R,Rydenhag B

    更新日期:2016-06-01 00:00:00

  • Presurgical visualization of the neurovascular relationship in trigeminal neuralgia with 3D modeling using free Slicer software.

    abstract:OBJECTIVE:To explore whether segmentation and 3D modeling are more accurate in the preoperative detection of the neurovascular relationship (NVR) in patients with trigeminal neuralgia (TN) compared to MRI fast imaging employing steady-state acquisition (FIESTA). METHOD:Segmentation and 3D modeling using 3D Slicer were...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-016-2936-8

    authors: Han KW,Zhang DF,Chen JG,Hou LJ

    更新日期:2016-11-01 00:00:00

  • Indocyanine green visualization of middle meningeal artery before craniotomy during surgical revascularization for moyamoya disease.

    abstract:BACKGROUND:The middle meningeal artery (MMA) is well known to function as an important collateral channel to the territory of the anterior cerebral artery in moyamoya disease. This study was aimed to evaluate whether indocyanine green (ICG) videoangiography could visualize the anterior branch of the MMA before cranioto...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-016-3060-5

    authors: Tanabe N,Yamamoto S,Kashiwazaki D,Akioka N,Kuwayama N,Noguchi K,Kuroda S

    更新日期:2017-03-01 00:00:00

  • The lateral position--dependant occipital approach--to pineal and medial occipitoparietal lesions. Technical note.

    abstract::A recent modification of the occipital transtentorial approach to the pineal region and medial-posterior hemisphere is described. The patient is operated upon in a lateral reclining (park bench) position with the side to undergo occipitoparietal craniotomy, slightly dependant. Following dural opening to the margins of...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405427

    authors: Stone JL,Cybulski GR,Crowell RM,Moody RA

    更新日期:1990-01-01 00:00:00

  • An assessment of patient-reported long-term outcomes following surgery for cauda equina syndrome.

    abstract:BACKGROUND:Data regarding long-term outcomes following surgery for cauda equina syndrome (CES) is scarce. In addition, these studies rely on patient descriptions of the presence or absence of symptoms, with no gradation of severity. This study aimed to assess long-term bladder, bowel, sexual and physical function using...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-019-03973-7

    authors: Hazelwood JE,Hoeritzauer I,Pronin S,Demetriades AK

    更新日期:2019-09-01 00:00:00

  • A new simple therapeutic method for chronic subdural hematoma without irrigation and drainage.

    abstract:BACKGROUND:We developed a new simple therapeutic method for the treatment of chronic subdural hematoma (CSDH) without irrigation and drainage. This method is characterized by replacement of the hematoma with oxygen. METHODS:Seventy patients (seventy-eight sides) with CSDH were treated with this method from May 1994 to...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-005-0689-x

    authors: Takeda N,Sasaki K,Oikawa A,Aoki N,Hori T

    更新日期:2006-05-01 00:00:00

  • Pre- and postoperative need for pituitary hormone replacement in non-adenomatous sellar and parasellar lesions: importance of the sellar encroachment score.

    abstract:BACKGROUND:Pre-/postoperative pituitary endocrine deficiencies in patients with sellar/parasellar non-adenomatous lesions are poorly described and studies have not considered the effect of sellar invasion on endocrine outcome. The aim of this study was to relate the need for pituitary hormone replacement pre-/postopera...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-020-04440-4

    authors: Waqar M,Rampersad S,Bennett D,Kearney T,Gnanalingham KK

    更新日期:2020-10-01 00:00:00

  • Rupture of intracranial aneurysms and ventricular opacification during carotid angiography.

    abstract::Two cases of rupture of intracranial aneurysms and opacification of the lateral ventricles occurring during carotid angiography are reported and X-rays of the haemorrhage from the aneurysms are presented. Though the possibility of this complications remains a real one, the early use of this valuable procedure should n...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01406041

    authors: Gelmers HJ,Simons AJ,Loew F

    更新日期:1984-01-01 00:00:00

  • Affected health domains in patients with brainstem cavernous malformations.

    abstract:BACKGROUND:Brainstem cavernous malformations (CM) carry high risks of hemorrhage and neurologic morbidity. While much is published on physical effects of brainstem CM, very little is known about these patients' quality of life. This study aimed to assess the quality of life PROMIS-29 health domains of brainstem CM pati...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-019-04075-0

    authors: Kumar S,Lanzino G,Flemming KD

    更新日期:2019-12-01 00:00:00