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is redirected. ELANA is differentiated from other techniques in how the artery is opened. In most conventional techniques, the flow of recipient artery is temporarily interrupted, typically via occlusion with clips, and is opened using
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Stecher, David; Hoogewerf, Marieke; Bronkers, Glenn; van Putte, Bart P.; Doevendans, Pieter A.; Tulleken, Cornelis A.F.; van
Herwerden, Lex; Pasterkamp, Gerard; Buijsrogge, Marc P. (March 7, 2021).
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Tulleken, C.A.; Verdaasdonk, R.M.; Beck, R.J.; Mali, W.P. (November 1996). "The
Modified Excimer Laser-Assisted High-Flow Bypass Operation".
143:"ELANA: Excimer Laser-Assisted Nonocclusive Anastomosis for extracranial-to-intracranial and intracranial-to-intracranial bypass: a review"
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86:. This technique does not interrupt blood flow and thus reduces the risk that areas supplied by the targeted artery will become
296:"Preclinical Feasibility and Patency Analyses of a New Distal Coronary Connector: The ELANA Heart Bypass"
200:"Preclinical Feasibility and Patency Analyses of a New Distal Coronary Connector: The ELANA Heart Bypass"
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de Boer, B.; van
Doormaal, T. P. C.; van Thoor, S.; Gortzak, K.; van der Zwan, A. (February 18, 2020).
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are particularly sensitive to ischemia. It is often used in bypasses between major
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as well as intracranial to intracranial. The technique has also been used for
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Innovations: Technology and
Techniques in Cardiothoracic and Vascular Surgery
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and has been made to be sutureless in both neuro and cardiac applications.
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ELANA was first developed in 1993. It has since been widely discussed in
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249:"Technical Development of the Sutureless ELANA Clip Anastomosis Device"
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388:"With Lasers and Daring, Doctors Race to Save a Young Man's Brain"
61:. Once the donor vessel is attached, the artery is opened and
141:Langer, David J.; Vajkoczy, Peter (August 2005).
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82:, which is inserted into the chosen
38:. The technique reduces the risk of
386:Grady, Denise (December 19, 2006).
74:. By contrast, ELANA uses a 308 nm
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34:without interrupting the patient's
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30:is a technique used to create a
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365:10.1016/s0090-3019(96)00096-1
198:Stecher, D. (March 1, 2021).
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253:Journal of Medical Devices
420:Neurosurgical procedures
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117:as well as the general
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78:delivered through a
53:techniques, such as
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204:Innovations
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125:References
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63:blood flow
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259:(2).
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