High-speed extra-intracranial bypass combined with an assisting low-speed anastomosis: surgical technique and a clinical example

Byvaltsev V.A.^1,2,3,4, Belykh E.G.¹, Kikuta K.⁵, Sorokovikov V.A.^1,2,3, Grigoriev E.G.^1,2

1) Scientific Research Centre of Reconstructive and Restorative Surgery, Siberian Branch of the Russian Academy of Medical Sciences,
2) Chair of Hospital Surgery with the Course of Neurosurgery, Irkutsk State Medical University,
3) Chair of Traumatology, Orthopaedics and Neurosurgery, Irkutsk State Medical Academy of Postgraduate Education,
4) Railroad Clinical Hospital, station Irkutsk-Passenger of the Open Joint-Stock Company, Irkutsk, Russia
5) Faculty of Medical Sciences, Fukui University, Fukui, Japan

Described herein is the technique of performing assisting low-speed and high-speed extra-intracranial bypass, followed by a clinical case report concerning successful application of this technique in trapping of a giant aneurysm of the cavernous portion of the internal carotid artery in a female patient after endured transitory ischaemic attack during the test with temporary balloon-mediated occlusion of the internal carotid artery.

KEY WORDS: wide-lumen anastomosis, extra-intracranial anastomosis, assisting bypass, aneurysm, trapping.

P. 211-215

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