neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2026-28-2-98-103neurosurgery-1850Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWДвуствольный экстра-интракраниальный микроанастомоз при хронической окклюзии внутренней сонной артерии – ренессанс церебральной реваскуляризации? Обзор литературыDouble-barrel superficial temporal artery-middle cerebral artery bypass for internal carotid artery chronic occlusion treatment a renaissance of cerebral revascularization? Literature reviewhttps://orcid.org/0000-0003-0956-6994БобиновВ. В.BobinovV. V.

Василий Витальевич Бобинов

191014 Санкт-Петербург, ул. Маяковского, 12 

Vasiliy Vitalyevich Bobinov

12 Mayakovskogo St., Saint Petersburg 191014

neyro.bobinov@yandex.ruНейрохирургическое отделение № 3 Российского научно-исследовательского нейрохирургического института им. проф. А.Л. Поленова – филиала ФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава РоссииРоссияNeurosurgical Department No. 3, Polenov Russian Scientific Research Institute of Neurosurgery – branch of Almazov National Medical Research CentrеRussian Federation20261906202628298103Copyright © Бобинов В.В., 20262026Бобинов В.В.Bobinov V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1850

Хроническая окклюзия внутренней сонной артерии может быть причиной гемодинамического ишемического инсульта, а также проявлять себя прогрессирующим снижением когнитивной функции. Крупные мультицентровые исследования не смогли продемонстрировать преимущества хирургической реваскуляризации головного мозга как в профилактике ишемического инсульта с ипсилатеральной стороны, так и в лечении когнитивного дефицита. Сообщения последних лет демонстрируют повышенный интерес к изучению эффективности и безопасности двуствольного экстра-интракраниального анастомоза в лечении пациентов с хронической окклюзией внутренней сонной артерии, однако такие публикации содержат в основном единичные случаи лечения и не носят систематический характер. Целью данной работы являются анализ и систематизация доступных данных литературы по безопасности, эффективности и технике выполнения реваскуляризации головного мозга путем формирования двуствольного экстра-интракраниального микроанастомоза при хронической окклюзии внутренней сонной артерии. 

Chronic occlusion of the internal carotid artery may be a cause of hemodynamic ischemic stroke and may also manifest itself by progressive decline in cognitive function. Large multicenter studies have failed to demonstrate the benefits of surgical cerebral revascularization both in the prevention of ischemic stroke on the ipsilateral side and in the treatment of cognitive deficits. Reports in recent years indicate high efficacy and safety of double-barrel EC–IC bypass in the treatment of patients with chronic internal carotid artery occlusion; however, such publications are few and contain mostly single cases of treatment. The aim of this work is to analyze the available literature data on safety, efficacy and technique of performing cerebral revascularization by formation of a double-barrel EC–IC bypass. 

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The authors declare that there are no conflicts of interest present.