{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T22:16:55Z","timestamp":1781734615609,"version":"3.54.5"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>\n            Background Superficial temporal artery to middle cerebral artery (STA-MCA) bypass is a treatment option for hemodynamic insufficiency in the anterior cerebral circulation. Complications associated with extracranial-intracranial bypass surgeries are ischemic strokes caused by bypass failure, wound-healing disorders, and further issues from cerebrospinal fluid (CSF) leakage. CSF leakage can provide pathways for infection. It is well known in general neurosurgery that watertight closure of the dura mater is necessary to prevent such complications.<\/jats:p><jats:p>\n            Objective To provide a technical description of TachoSil dural reconstruction in standard STA-MCA bypasses and their follow-up analyses.<\/jats:p><jats:p>\n            Methods In this technical report with observational follow-up, the dura mater was closed partially by adaptive sutures, and the perforation site of the donor vessel was sealed with TachoSil. TachoSil is a collagen sponge covered with clotting factors that provides hemostatic and sealing effects.<\/jats:p><jats:p>\n            Results Our study included eight cases of standard STA-MCA bypasses that had been operated between July 2015 and September 2016. Follow-up examinations were completed for all patients at 1\u2009month and 6 months after surgery. Duplex and Doppler ultrasound demonstrated regular bypass patency in all patients without increased flow velocity at the perforation sites, which is a possible sign of stenosis. No wound-healing disorders or CSF leakage occurred. No cerebrovascular stroke events were observed.<\/jats:p><jats:p>\n            Conclusion Duraplasty with TachoSil enables the elastic reconstruction of the dura perforation gap in standard extracranial-intracranial bypass surgeries.<\/jats:p>","DOI":"10.1055\/s-0038-1675565","type":"journal-article","created":{"date-parts":[[2018,11,15]],"date-time":"2018-11-15T23:50:53Z","timestamp":1542325853000},"page":"039-043","source":"Crossref","is-referenced-by-count":8,"title":["TachoSil Dural Reconstruction in Extracranial-Intracranial Bypass Surgeries"],"prefix":"10.1055","volume":"80","author":[{"given":"Behnam","family":"Jahromi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Helsinki University Central Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Ludtka","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Schwan","sequence":"first","affiliation":[{"name":"Department of Biological and Macromolecular Materials, Fraunhofer Institute for Microstructure of Materials and Systems IMWS, Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nakao","family":"Ota","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Stroke Center, Sapporo Teishinkai Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Meisel","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, BG-Klinikum Bergmannstrost GmbH, Merseburger Stra\u00dfe 165, Halle 06112, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rokuya","family":"Tanikawa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Stroke Center, Sapporo Teishinkai Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lawton","sequence":"first","affiliation":[{"name":"Barrow Neurosurgical Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Goehre","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, BG-Klinikum Bergmannstrost GmbH, Merseburger Stra\u00dfe 165, Halle 06112, Germany"},{"name":"Department of Neurosurgery, Helsinki University Central Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Tews","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, BG-Klinikum Bergmannstrost GmbH, Merseburger Stra\u00dfe 165, Halle 06112, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2018,11,15]]},"container-title":["Journal of Neurological Surgery Part A: Central European Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1675565.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,1,18]],"date-time":"2019-01-18T09:44:26Z","timestamp":1547804666000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1675565"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,15]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2019,1,10]]},"published-print":{"date-parts":[[2019,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1675565","relation":{},"ISSN":["2193-6315","2193-6323"],"issn-type":[{"value":"2193-6315","type":"print"},{"value":"2193-6323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,15]]}}}