Table 2 Vascular access strategies reported by the included studies
From: Perfusion fixation in brain banking: a systematic review
Study | Approach | Vessels Accessed | Cannula | Vessels Occluded |
|---|---|---|---|---|
Adickes 1996 [2] | Ex situ, both hemispheres | Unilateral vertebral artery, bilateral carotid arteries | 18G cannula | Contralateral vertebral artery |
Adickes 1997 [1] | Ex situ, one hemisphere | Internal carotid artery; if the PCoA was too small or not present, second cannula placed in the posterior cerebral artery | 18G plastic cannula | Basilar and contralateral cerebral arteries |
Alvernia 2010 [3] | In situ, head separated | Common carotid arteries, vertebral arteries, internal jugular veins | One-way urinary catheter (largest possible) | NR |
Beach 1987 [7] | Ex situ, whole brain | Bilateral internal carotid arteries, bilateral vertebral arteries or basilar artery | Plastic IV cannula | NR |
Benet 2014 [9] | In situ, head separated | Common carotid arteries, vertebral arteries, jugular veins | NR | NR |
Böhm 1983 [12] | In situ, thoracic dissection | Aortic arch | Wide balloon catheter | NR |
Coveñas 2003 [20] | Ex situ, whole brain | Carotid and vertebral arteries | NR | NR |
de Oliveira 2012 [23] | Ex situ, one hemisphere | Internal carotid artery, posterior communicating artery* | 20G peripheral catheter* | Basilar artery* and contralateral hemisphere arteries |
Donckaster 1963 [24] | In situ, neck dissection | Bilateral carotids, with or without vertebral arteries | Irrigation cannula | External carotids |
Feekes 2005 [28] | Unclear | Carotid artery | NR | NR |
Grinberg 2008 [34] | Ex situ, whole brain | Bilateral internal carotid arteries and vertebral arteries* | Olive C cannula* | NR |
Halliday 1988 [35] | Ex situ, whole brain | Carotid and vertebral arteries | NR | NR |
Huang 1993 [40] | Ex situ, whole brain | Bilateral internal carotid arteries and vertebral arteries | NR | NR |
Insausti 1995 [42] | Ex situ, whole brain | Both internal carotids, if both PCoAs were sufficient diameter; One carotid and the basilar artery otherwise | NR | Non-cannulated arteries were ligated |
Istomin 1994 [43] | Ex situ, whole brain | Internal carotid arteries and basilar arteries | NR | NR |
Istomin 1994 [43] | In situ, neck dissection | Bilateral carotid arteries | NR | NR |
Kalimo 1974 [45] | In situ, neck dissection | Initial segment of the right internal carotid artery | Glass cannula | Right external carotid, both left carotid arteries, and vertebral arteries |
Latini 2015 [53] | In situ, neck dissection | Left or right common carotid artery | NR | NR |
Lyck 2008 [58] | In situ, unclear approach | Internal carotid artery | NR | NR |
Masawa 1993 [59] | Ex situ, whole brain | Bilateral internal carotid arteries | NR | NR |
Masawa 1994 [60] | Ex situ, whole brain | Bilateral carotid arteries | NR | NR |
McKenzie 1994 [64] | In situ, neck dissection | Bilateral common carotid arteries | Polyethylene cannula (1/4″ outside diameter) | Vertebral arteries and internal jugular veins (intermittently clamped) |
Nakamura 1991 [69] | Ex situ, whole brain | Bilateral internal carotid and vertebral arteries | NR | NR |
Pakkenberg 1966 [70] | In situ, unclear approach | Unilateral carotid artery | NR | NR |
Sharma 2006 [79] | Ex situ, whole brain | Blood vessels at the base of the brain and floor of the third ventricle (non-vessel) | NR | NR |
Shinkai 1976 [81] | Ex situ, whole brain | Bilateral internal carotid and vertebral arteries | NR | NR |
Sutoo 1994 [85] | Ex situ, whole brain | Bilateral internal carotid arteries and basilar artery | NR | NR |
Suzuki 1979 [86] | Ex situ, whole brain | Bilateral middle cerebral arteries | NR | NR |
Tanaka 1975 [87] | In situ, neck dissection | Left internal carotid artery | NR | NR |
Torack 1990 [90] | Ex situ, whole brain | Bilateral internal carotid arteries and the basilar artery | NR | After initial perfusion fixation, clamped vessels to isolate the hippocampus |
Turkoglu 2014 [92] | In situ, head separated | Bilateral internal carotid arteries | One-way number 10 Foley urinary catheters | External carotid arteries |
von Keyserlingk 1984 [93] | In situ, neck dissection | Internal carotid artery, vertebral artery | NR | NR |
Waldvogel 2006 [96] | Ex situ, whole brain | Basilar and internal carotid arteries | 21G winged infusion needles | Leaking vessels occluded |
Waldvogel 2006 [96] | Ex situ, one hemisphere | Internal carotid, vertebral, and anterior cerebral arteries | 21G winged infusion needles | Leaking vessels occluded |
Welikovitch 2018 [99] | Ex situ, whole brain | Internal carotid and vertebral arteries | Serum 1 needle* | NR |