Seven Bypasses : Tenets and Techniques for Revascularization-1판

Seven Bypasses: Tenets and Techniques for Revascularization is the third book in a trilogy of bravura, technical 
nuance, and strategy by master neurosurgeon Michael Lawton. Like his first two books on aneurysms and AVMs, Seven 
Bypasses provides unparalleled firsthand insights and guidance on complex pathologies in vascular neurosurgery. The 
fundamentals of microsurgical anastomosis and the craft of bypass surgery are explored in depth with clinical pearls in 
every chapter.

Lawton eloquently reveals the art of cerebral revascularization in exquisite, metaphorical detail. The surgeon 
performing bypass surgery is like an architect envisioning and building a beautiful structure. A bypass is designed to 
fit the patient's 
unique anatomy; blueprints designate anastomotic sites, connections, and conduits; the anastomoses are constructed; and 
the bypass is brought to life with pulsations, flow, and reperfusion. The book highlights Lawton's aesthetic, which has 
evolved from the common STA-MCA bypasses to IC-IC bypasses and elaborate arterial reconstructions.

Key Highlights
　◦  Stepwise discussion of the three anastomoses that form the building blocks of all bypasses: end-to-side, side-to-
     side, and end-to-end anastomoses 

　◦  Ten tenets delineate nuances of bypass: dexterity, preparing donors and recipients, establishing a working zone, 
　　 temporary arterial occlusion, arteriotomy, suturing technique, tissue handling, knot tying, patency, 
　　 and aneurysm occlusion

　◦  Step-by-step guidance on the seven bypasses: EC-IC bypass, EC-IC interpositional bypass, arterial reimplantation, 
　　 in-situ bypass, reanastomosis, IC-IC interpositional bypass, and combination bypass

　◦  Strategies and algorithms for aneurysms organized by specific anatomical sites, including the MCA and the Sylvian 
   　cistern, ACA and the interhemispheric cistern, basilar artery and the basal cisterns, and PICA and the cisterna   
     magna

　◦  More than 1,500 radiographs, operative photographs, and exquisite illustrations drawn by artist Kenneth Xavier 
     Probst elucidate anatomy, surgical principles, and clinical cases
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Dr. Lawton has bequeathed a remarkable treasure of knowledge to current and future generations of neurosurgeons and 
their 
patients. The Seven series is destined to be an enduring classic for residents, fellows, and neurosurgeons specializing 
in the 
treatment of cerebrovascular disease, and for those who believe that manual dexterity and technical skill still matter.

Michael T. Lawton, MD, is Chairman, Department of Neurological Surgery; Professor of Neurological Surgery; President 
and Chief 
Executive Officer, Barrow Neurological Institute; Chief of Vascular and Skull Base Neurosurgery Programs; and Robert F. 
Spetzler Endowed Chair in Neurosciences, Barrow Neurological Institute and St. Joseph's Hospital and Medical Center, 
Phoenix, 
Arizona, USA.

An award-winning international medical and scientific publisher, Thieme has demonstrated its commitment to the highest 
standard of quality in the state-of-the-art content and presentation of all its products. Founded in 1886, the Thieme 
name has 
become synonymous with high quality and excellence in online and print publishing.




Preface


Acknowledgments


Section I : Three Anastomoses

　1. End-to-Side Anastomosis

　2. Side-to-Side Anastomosis

　3. End-to-End Anastomosis 


Section II : Ten Tenets

　4. Dexterity 

　5. Donors and Recipients 

　6. In the Zone 

　7. Cross Clamp 

　8. Arteriotomy 

　9. Suturing Technique 

　10. Tissue Handling 

　11. Tightening and Knotting 

　12. Bypass Patency 

　13. Aneurysm Occlusion


Section III : Seven Bypasses

　14. Extracranial-Intracranial Bypass 

　15. Extracranial-Intracranial Bypass with Interposition Graft 

　16. Reimplantation 

　17. In-Situ Bypass 

　18. Reanastomosis 

　19. Intracranial-Intracranial Bypass with Interposition Graft 

　20. Combination Bypasses Section 


Section IV : Bypass Strategy

　21. MCA Bypass Strategy 

　22. ACA Bypass Strategy 

　23. Basilar Artery Bypass Strategy 

　24. PICA Bypass Strategy 


Section V


Conclusion


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