Immediate Closure of the Bypass
- surgical revision, possibly new graft; if possible, the anastomoses should not be disconnected
perioperative stroke
- Duplex sonography/spiral angio-CT -> clarify cause, exclude intracranial embolization
- in case of local technical problem, surgical revision
- in case of intracranial occlusions, conservative
- Thrombolysis contraindicated in neck interventions
Nerve injury
- e.g., N. phrenicus -> suture
Prevention of neural damage
- secure mastery of the anatomy
- careful preparation for identification and display of neural structures in the surgical area
- anticipate atypical anatomical variants and prepare them particularly carefully
- no coagulation of bleedings from the perineurium
- avoid compression of nerves by hooks and retractors