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

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.