2019 AMI Online Salon

The future of open vascular neurosurgery: perspectives on bypasses for complex aneurysms

Project Details

  • Entrant Name: Peter Lawrence
  • Membership Type: Professional Submission  
  • Address: Phoenix, AZ
  • Client: Department of Neurosurgery, Barrow Neurological Institute
  • Medium/software used: Adobe Photoshop CC 2018
  • Final presentation format: Journal Cover
  • Primary Audience: Resident and attending neurosurgeons

Project Description

Although the volume of open aneurysm surgery is declining, complex aneurysms still require open microsurgery, often with bypass techniques. Bypass surgery demonstrates that open microsurgery will continue to evolve. By rearranging and combining preexisting bypass techniques, Michael Lawton, MD has developed a new series of “fourth generation” bypass methodology for treating these complex vascular pathologies. This illustration depicts these new techniques: type 4A bypasses use in situ (or intraluminal) suturing within the conventional anastomosis, whereas type 4B bypasses maintain the basic construct of reimplantations or reanastomoses but use an unconventional anastomosis. Dexterity and meticulous application of these new, innovative microsurgical techniques will be a tremendous asset to every open vascular neurosurgeon.