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adventitia anastomosis Anastomosis of Small aneurysms Angiogram angiography application arrow arterial wall arteriotomy artery and middle basilar artery bifurcation bilateral bipolar blood vessels branch Burlington bushing carotid-cavernous fistula cervical clamps clinical closure coagulation collateral circulation College of Medicine cortical artery demonstrated developed diameter dissection distal Donaghy Eastman 910 Electrocoaptation Embolectomy embolization evertor exophthalmos experimental femoral flow forceps graft Hospital incision instrument internal carotid artery intima Jacobson laser ligation lumen magnification method Micro-Vascular Surgery microns microscope Microsurgery microsurgical technique microvascular middle cerebral artery muscle needle holder neodymium nerve Neurosurg Neurosurgery nylon occlusion operation patch patency rate patient performed postoperative pressure problems procedures reconstruction repair segment silk small arteries small blood vessels small vessel spasm staples stay sutures superficial temporal artery Surg surgeon surgical suture suture material T-Tube thrombosis thrombus tissue transplantation trigeminal tube University of Vermont vasa vasorum vascular vein venous vessel wall Vogelfanger