Pedicled temporoparietal fascial flap for combined revascularization in adult moyamoya disease.

Moyamoya disease (MMD) is a progressive, idiopathic cerebrovascular occlusive disease. Various revascularization techniques including direct, indirect, and combined microvascular bypasses have been described. This article presents a modified revascularization technique for MMD utilizing a pedicled temporoparietal fascial flap (TPFF) for combined revascularization.

Fusiform vertebral artery aneurysms involving the posterior inferior cerebellar artery origin associated with the sole angiographic anterior spinal artery origin: technical case report and treatment paradigm proposal.

Fusiform aneurysms of the vertebral artery (VA) involving the posterior inferior cerebellar artery (PICA) origin are uncommon and challenging. The anterior spinal artery (ASA) commonly originates from a unilateral ramus just distal to the PICA. Occlusion of an unpaired ASA can result in bilateral medial medullary syndrome.

A3-A3 Anastomosis in the Management of Complex Anterior Cerebral Artery Aneurysms: Experience With in Situ Bypass and Lessons Learned From Pseudoaneurysm Cases.

Background: A3-A3 side-to-side bypass is an intracranial-to-intracranial (IC-IC) revascularization option when aneurysm treatment involves occlusion of one anterior cerebral artery (ACA).

Objective: To describe applications of A3-A3 side-to-side bypass in the management of ACA true and pseudoaneurysms along with a review of pertinent literature.

Methods: Six consecutive patients undergoing an A3-A3 bypass as part of their aneurysm management, representing a single-surgeon experience in a 2-yr period, were included in this retrospective review of a prospectively collected database.

Running-to-Interrupted Microsuture Technique for Vascular Bypass.

Background: The ideal suturing technique for microvascular anastomosis for neurosurgical bypass procedures remains a point of debate. Simple interrupted sutures are thought to possess higher long-term patency but require more time to place as compared to running sutures.

Objective: To optimize the efficiency of microvascular anastomosis and limit brain ischemia time.

Unraveling the Etiology of North American Grapevine Yellows (NAGY): Novel NAGY Phytoplasma Sequevars Related to 'Candidatus Phytoplasma pruni'.

North American grapevine yellows (NAGY) disease has sometimes been attributed to infection of Vitis vinifera L. by Prunus X-disease phytoplasma ('Candidatus Phytoplasma pruni') but this attribution may not be fully adequate. In this study, phytoplasma strains related to 'Ca.

Investigating the fundamental basis for selectors to improve activated sludge settling.

Aerobic, anoxic, and anaerobic selectors have become popular for controlling filamentous bulking in activated sludge systems; however, selectors are not always successful. Regression analyses of data collected from 48 full-scale wastewater treatment plants, with operating selectors, provided a method for ranking the importance of selector operating and design parameters (with respect to their influence on activated sludge settleability) and suggests optimum numerical ranges for these parameters for best selector performance. Selectors do not appear to control filamentous bulking in long mean cell residence time (MCRT) plants.