Internal thoracic artery for high-flow extra-intracranial bypass graft. Case report and literature review

Pavlov O.A.; Dubovoy A.V.; Babichev K.N.; Snegirev M.A.

doi:https://doi.org/10.17116/neiro202589031100

Pavlov O.A.

Kirov Military Medical Academy;
Mariinskaya Hospital

ORCID: 0000-0001-8230-8006

Dubovoy A.V.

Ilyinskaya Hospital

ORCID: 0000-0002-0927-2841

Babichev K.N.

Kirov Military Medical Academy;
Dzhanelidze Research Institute for Emergency Care

ORCID: 0000-0002-4797-2937

Snegirev M.A.

Mariinskaya Hospital

ORCID: 0000-0002-2820-2144

Internal thoracic artery for high-flow extra-intracranial bypass graft. Case report and literature review

Authors:

Pavlov O.A., Dubovoy A.V., Babichev K.N., Snegirev M.A.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2025;89(3): 100‑107

DOI: 10.17116/neiro202589031100

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To cite this article:

Pavlov OA, Dubovoy AV, Babichev KN, Snegirev MA. Internal thoracic artery for high-flow extra-intracranial bypass graft. Case report and literature review. Burdenko's Journal of Neurosurgery. 2025;89(3):100‑107. (In Russ., In Engl.)
https://doi.org/10.17116/neiro202589031100

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To describe the first experience of internal thoracic artery for high-flow extra-intracranial bypass.

MATERIAL AND METHODS

Internal thoracic artery was used for high-flow extra-intracranial bypass in a patient with giant aneurysm of internal carotid artery. Internal thoracic artery harvesting technique is presented. A systematic review is devoted to the role of internal thoracic artery in neurosurgery. The main advantages and disadvantages of internal thoracic artery are described.

RESULTS

High-flow extra-intracranial bypass through internal thoracic artery allowed safe ICA occlusion. CT- angiography confirmed graft patency.

CONCLUSION

We present the first experience of internal thoracic artery for high-flow bypass. The advantages and disadvantages are described. A final decision in favor of one or another graft requires further research.

Keywords:

high flow bypass

brain aneurysm

internal thoracic artery

Authors:

Pavlov O.A.

Kirov Military Medical Academy;
Mariinskaya Hospital

ORCID: 0000-0001-8230-8006

Dubovoy A.V.

Ilyinskaya Hospital

ORCID: 0000-0002-0927-2841

Babichev K.N.

Kirov Military Medical Academy;
Dzhanelidze Research Institute for Emergency Care

ORCID: 0000-0002-4797-2937

Snegirev M.A.

Mariinskaya Hospital

ORCID: 0000-0002-2820-2144

Received:

15.08.2024

Accepted:

28.03.2025

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References:

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