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Updated: Jun 1, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Towards sutureless non-occlusive cerebral revascularization.

B De Boer¹, T P Van Doormaal, A Van Der Zwan

¹Department of Neurosurgery, Rudolf Magnus Institute of Neuroscience, University Medical Center of Utrech, Utrecht, The Netherlands. b.deboer-3@umcutrecht.nl

Journal of Neurosurgical Sciences

|May 31, 2011

Summary

This summary is machine-generated.

Developing sutureless vascular anastomoses is crucial for neurosurgery. The sutureless ELANA (SELANA) technique shows promise for intracranial use, evolving towards an ideal, non-occlusive anastomosis.

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Area of Science:

Neurosurgery
Vascular Surgery
Biomedical Engineering

Background:

Sutureless vascular anastomoses are critical in neurosurgery to prevent brain ischemia during temporary cerebral artery occlusion.
Conventional sutured anastomoses are the standard but present challenges in limited surgical spaces.
Previous attempts at artificial anastomoses often required temporary artery occlusion.

Purpose of the Study:

To review the evolution of sutureless vascular anastomosis techniques.
To highlight the development and feasibility of the sutureless ELANA (SELANA) technique for intracranial applications.

Main Methods:

Review of research on sutureless vascular anastomoses.
Description of the Excimer Laser Assisted Non-Occlusive Anastomosis (ELANA) technique.
Evaluation of the sutureless ELANA (SELANA) slide in in vitro and in vivo experiments.

Main Results:

The ELANA technique enables end-to-side anastomosis without recipient artery occlusion.
The sutureless ELANA (SELANA) slide demonstrated feasibility for intracranial use.
Improvements, such as adding a clip, are needed for the SELANA device.

Conclusions:

The development of sutureless anastomoses is an ongoing evolutionary process.
The SELANA technique represents a significant advancement towards sutureless intracranial vascular repair.
Further refinement is necessary to achieve an ideal sutureless anastomosis.