neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2019-21-2-85-93neurosurgery-723Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWРЕВАСКУЛЯРИЗАЦИЯ ГОЛОВНОГО МОЗГА ПО МЕТОДИКЕ BONNET“BONNET” BYPASS IN BRAIN REVASCULARISATIONhttps://orcid.org/0000-0003-4518-9874ЛукьянчиковВ. А.LukyanchikovV. А.https://orcid.org/0000-0002-7341-797XСтароверовМ. С.StaroverovM. S.staroverov1995@gmail.comГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare DepartmentRussian FederationМеждународная школа «Медицина будущего» Сеченовского университетаРоссияInternational School “Medicine of the Future”, Sechenov UniversityRussian Federation2019160620192128593Copyright © Лукьянчиков В.А., Староверов М.С., 20192019Лукьянчиков В.А., Староверов М.С.Lukyanchikov V.А., Staroverov M.S.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/723

Статья посвящена обсуждению методики шунтирования по типу bonnet. Такое шунтирование выполняют при невозможности использования ипсилатеральных артерий в качестве донора для реваскуляризации головного мозга. Проведен анализ научной литературы по проблеме и выделены 3 основные техники осуществления данного вмешательства. Определены показания к выполнению шунтирования по типу bonnet, а также указаны недостатки данной методики. Описаны альтернативные способы шунтирования и технические особенности защиты шунта. Шунтирование сосудов головного мозга по типу bonnet считается трудоемкой операцией и выполняется редко. Однако в ряде случаев это наиболее эффективный способ лечения, позволяющий избежать серьезных ишемических нарушений.

The article describes the “bonnet” bypass, the type of extracranial-intracranial bypass. This technique is performed when ipsilateral arteries can’t be used as a donor when cerebral revascularization is required. The literature was analyzed and three main techniques of “bonnet” have been defined. The indications for performing “bonnet” bypass are determined, and the disadvantages are indicated. Alternative methods of revascularization are presented and technical details of graft protection are described. The “bonnet” bypass is a rare and laborious technique of cerebral revascularisation. However, it is an alternative and effective method of treatment to prevent serious ischemic disorders.

обходной анастомоз по типу bonnetшунтированиереваскуляризация мозгаокклюзия общей сонной артерии“bonnet” bypassanastomosiscerebral revascularizationocclusion of the common carotid arteryReferencesWessels L., Hecht N., Vajkoczy P. Bypass in neurosurgery – indications and techniques. Neurosurg Rev 2018 Mar 13. DOI: 10.1007/s10143-018-0966-9. Available at: http://link.springer. com/10.1007/s10143-018-0966-9.Wessels L., Hecht N., Vajkoczy P. Bypass in neurosurgery – indications and techniques. Neurosurg Rev 2018 Mar 13. DOI: 10.1007/s10143-018-0966-9. Available at: http://link.springer. com/10.1007/s10143-018-0966-9.Esposito G., Sebök M., Amin-Hanjani S., Regli L. Cerebral bypass surgery: level of evidence and grade of recommendation. In: Trends in the management of cerebrovascular diseases. Ed. by G. Esposito, L. Regli, Y. Kaku, T. Tsukahara. Cham: Springer International Publishing, 2018. Pp. 73–77. Available at: http://link.springer.com/10.1007/978-3-319-73739-3_10.Esposito G., Sebök M., Amin-Hanjani S., Regli L. Cerebral bypass surgery: level of evidence and grade of recommendation. In: Trends in the management of cerebrovascular diseases. Ed. by G. Esposito, L. Regli, Y. Kaku, T. Tsukahara. Cham: Springer International Publishing, 2018. Pp. 73–77. Available at: http://link.springer.com/10.1007/978-3-319-73739-3_10.Yang T., Tariq F., Chabot J. et al. Cerebral revascularization for difficult skull base tumors: a contemporary series of 18 patients. World Neurosurg 2014; 82(5):660– 71.DOI: 10.1016/j.wneu.2013.02.028.Yang T., Tariq F., Chabot J. et al. Cerebral revascularization for difficult skull base tumors: a contemporary series of 18 patients. World Neurosurg 2014; 82(5):660– 71.DOI: 10.1016/j.wneu.2013.02.028.Sekhar L.N., Natarajan S.K., Ellenbogen R.G., Ghodke B. Cerebral revascularization for ischemia, aneurysms, and cranial base tumors. Neurosurgery 2008;62(6 Suppl 3):1373–408. DOI: 10.1227/01.neu.0000333803.97703.c6.Sekhar L.N., Natarajan S.K., Ellenbogen R.G., Ghodke B. Cerebral revascularization for ischemia, aneurysms, and cranial base tumors. Neurosurgery 2008;62(6 Suppl 3):1373–408. DOI: 10.1227/01.neu.0000333803.97703.c6.Acker G., Fekonja L., Vajkoczy P. Surgical management of moyamoya disease. Stroke 2018;49(2):476–82. DOI: 10.1161/STROKEAHA.117.018563.Acker G., Fekonja L., Vajkoczy P. Surgical management of moyamoya disease. Stroke 2018;49(2):476–82. DOI: 10.1161/STROKEAHA.117.018563.Крылов В.В., Нахабин О.Ю., Винокуров А.Г. и др. Успешное выключение из кровотока аневризмы правой каллезомаргинальной артерии с созданием интра-интракраниального анастомоза. Нейрохирургия 2013;(4):58–63. [Krylov V.V., Nakhabin O.Ju., Vinokurov A.G. et al. The successful treatment of right calloso-marginal aneurysm by its trapping followed by intra-intracranial bypass. Neyrokhirurgiya = Russian Journal of Neurosurgery 2013;(4):58–63. (In Russ.)].Крылов В.В., Нахабин О.Ю., Винокуров А.Г. и др. Успешное выключение из кровотока аневризмы правой каллезомаргинальной артерии с созданием интра-интракраниального анастомоза. Нейрохирургия 2013;(4):58–63. [Krylov V.V., Nakhabin O.Ju., Vinokurov A.G. et al. The successful treatment of right calloso-marginal aneurysm by its trapping followed by intra-intracranial bypass. Neyrokhirurgiya = Russian Journal of Neurosurgery 2013;(4):58–63. (In Russ.)].Yasargil M.G. Anastomosis between superficial temporal artery and a branch of the middle cerebral artery. In: Yasargil M.G. Microsurgery applied to neurosurgery. Stuttgart: Georg Thieme Verlag, 1969. Pp. 105–115.Yasargil M.G. Anastomosis between superficial temporal artery and a branch of the middle cerebral artery. In: Yasargil M.G. Microsurgery applied to neurosurgery. Stuttgart: Georg Thieme Verlag, 1969. Pp. 105–115.Операции реваскуляризации головного мозга в сосудистой нейрохирургии. Под ред. под ред. В.В. Крылова, В.Л. Леменева. М.: Бином, 2014. 271 с.Операции реваскуляризации головного мозга в сосудистой нейрохирургии. Под ред. под ред. В.В. Крылова, В.Л. Леменева. М.: Бином, 2014. 271 с.Nishikawa M., Hashi K., Shiguma M. Middle meningeal – middle cerebral artery anastomosis for cerebral ischemia. Surg Neurol 1979;12(3):205–8.Nishikawa M., Hashi K., Shiguma M. Middle meningeal – middle cerebral artery anastomosis for cerebral ischemia. Surg Neurol 1979;12(3):205–8.Niknejad H.R., van der Zwan A., Heye S. et al. The value of the middle meningeal artery in cerebrovascular bypass surgery: an anatomic feasibility study. Oper Neurosurg (Hagerstown) 2018;15(1):89–96. DOI: 10.1093/ons/opx200.Niknejad H.R., van der Zwan A., Heye S. et al. The value of the middle meningeal artery in cerebrovascular bypass surgery: an anatomic feasibility study. Oper Neurosurg (Hagerstown) 2018;15(1):89–96. DOI: 10.1093/ons/opx200.Spetzler R.F., Rhoton A.L., Nakaji P., Kawashima M. Color atlas of cerebral revascularization: anatomy, techniques, clinical cases. New York: Thieme Medical Publishers, 2013. 363 p.Spetzler R.F., Rhoton A.L., Nakaji P., Kawashima M. Color atlas of cerebral revascularization: anatomy, techniques, clinical cases. New York: Thieme Medical Publishers, 2013. 363 p.Ustun M.E., Buyukmumcu M., Ulku C.H. et al. Transzygomatic-subtemporal approach for middle meningeal-to-P2 segment of the posterior cerebral artery bypass: an anatomical and technical study. Skull Base 2006;16(1):39–44. DOI: 10.1055/s-2006-931622.Ustun M.E., Buyukmumcu M., Ulku C.H. et al. Transzygomatic-subtemporal approach for middle meningeal-to-P2 segment of the posterior cerebral artery bypass: an anatomical and technical study. Skull Base 2006;16(1):39–44. DOI: 10.1055/s-2006-931622.Nossek E., Costantino P.D., Eisenberg M. et al. Internal maxillary artery-middle cerebral artery bypass: infratemporal approach for subcranial-intracranial (SC-IC) bypass. Neurosurgery 2014;75(1):87–95. DOI: 10.1227/NEU.0000000000000340.Nossek E., Costantino P.D., Eisenberg M. et al. Internal maxillary artery-middle cerebral artery bypass: infratemporal approach for subcranial-intracranial (SC-IC) bypass. Neurosurgery 2014;75(1):87–95. DOI: 10.1227/NEU.0000000000000340.Wang L., Cai L., Lu S. et al. The history and evolution of internal maxillary artery bypass. World Neurosurgery 2018;113:320–32. DOI: 10.1016/j.wneu.2018.02.158.Wang L., Cai L., Lu S. et al. The history and evolution of internal maxillary artery bypass. World Neurosurgery 2018;113:320–32. DOI: 10.1016/j.wneu.2018.02.158.Rubio R.R., Gandhi S., Benet A. et al. Internal maxillary artery to anterior circulation bypass with local interposition grafts using a minimally invasive approach: surgical anatomy and technical feasibility. World Neurosurg 2018;120:e503–10. DOI: 10.1016/j.wneu.2018.08.113.Rubio R.R., Gandhi S., Benet A. et al. Internal maxillary artery to anterior circulation bypass with local interposition grafts using a minimally invasive approach: surgical anatomy and technical feasibility. World Neurosurg 2018;120:e503–10. DOI: 10.1016/j.wneu.2018.08.113.Baaj A.A., Agazzi S., van Loveren H. Graft selection in cerebral revascularization. Neurosurg Focus 2009;26(5):E18. DOI: 10.3171/2009.1.FOCUS08303.Baaj A.A., Agazzi S., van Loveren H. Graft selection in cerebral revascularization. Neurosurg Focus 2009;26(5):E18. DOI: 10.3171/2009.1.FOCUS08303.Matsukawa H., Miyata S., Tsuboi T. et al. Rationale for graft selection in patients with complex internal carotid artery aneurysms treated with extracranial to intracranial high-flow bypass and therapeutic internal carotid artery occlusion. J Neurosurg 2018;128(6):1753–61. DOI: 10.3171/2016.11.JNS161986.Matsukawa H., Miyata S., Tsuboi T. et al. Rationale for graft selection in patients with complex internal carotid artery aneurysms treated with extracranial to intracranial high-flow bypass and therapeutic internal carotid artery occlusion. J Neurosurg 2018;128(6):1753–61. DOI: 10.3171/2016.11.JNS161986.Sekhar L.N., Duff J.M., Kalavakonda C., Olding M. Cerebral revascularization using radial artery grafts for the treatment of complex intracranial aneurysms: techniques and outcomes for 17 patients. Neurosurgery 2001;49(3):646–58.Sekhar L.N., Duff J.M., Kalavakonda C., Olding M. Cerebral revascularization using radial artery grafts for the treatment of complex intracranial aneurysms: techniques and outcomes for 17 patients. Neurosurgery 2001;49(3):646–58.Sia S.F., Morgan M.K. High flow extracranial-to-intracranial brain bypass surgery. J Clin Neurosci 2013;20(1):1–5. DOI: 10.1016/j.jocn.2012.05.007.Sia S.F., Morgan M.K. High flow extracranial-to-intracranial brain bypass surgery. J Clin Neurosci 2013;20(1):1–5. DOI: 10.1016/j.jocn.2012.05.007.Quiñones-Hinojosa A., Du R., Lawton M.T. Revascularization with saphenous vein bypasses for complex intracranial aneurysms. Skull Base 2005;15(2):119–32. DOI: 10.1055/s-2005-870598.Quiñones-Hinojosa A., Du R., Lawton M.T. Revascularization with saphenous vein bypasses for complex intracranial aneurysms. Skull Base 2005;15(2):119–32. DOI: 10.1055/s-2005-870598.Zumofen D., Khan N., Roth P. et al. Bonnet bypass in multiple cerebrovascular occlusive disease. In: Changing aspects in stroke surgery: aneurysms, dissections, moyamoya angiopathy and EC-IC bypass. Ed. by Y. Yonekawa, T. Tsukahara, A. Valavanis, N. Khan. Vienna: Springer, 2008. Pp. 103–107. Available at: http://link.springer.com/10.1007/978-3-211-76589-0_18.Zumofen D., Khan N., Roth P. et al. Bonnet bypass in multiple cerebrovascular occlusive disease. In: Changing aspects in stroke surgery: aneurysms, dissections, moyamoya angiopathy and EC-IC bypass. Ed. by Y. Yonekawa, T. Tsukahara, A. Valavanis, N. Khan. Vienna: Springer, 2008. Pp. 103–107. Available at: http://link.springer.com/10.1007/978-3-211-76589-0_18.Aso K., Ogasawara K., Kobayashi M., Yoshida K. Arterial bypass surgery using a spontaneously formed “bonnet” superficial temporal artery in a patient with symptomatic common carotid artery occlusion: case report. Neurosurgery 2010;67(3 Suppl Operative):onsE316–7. DOI: 10.1227/01.NEU.0000383877.00075.B4.Aso K., Ogasawara K., Kobayashi M., Yoshida K. Arterial bypass surgery using a spontaneously formed “bonnet” superficial temporal artery in a patient with symptomatic common carotid artery occlusion: case report. Neurosurgery 2010;67(3 Suppl Operative):onsE316–7. DOI: 10.1227/01.NEU.0000383877.00075.B4.Nagm A., Horiuchi T., Hasegawa T., Hongo K. Intraoperative evaluation of reverse bypass using a naturally formed “bonnet” superficial temporal artery: technical note. World Neurosurg 2016;88:603–8. DOI: 10.1016/j.wneu.2015.10.087.Nagm A., Horiuchi T., Hasegawa T., Hongo K. Intraoperative evaluation of reverse bypass using a naturally formed “bonnet” superficial temporal artery: technical note. World Neurosurg 2016;88:603–8. DOI: 10.1016/j.wneu.2015.10.087.Otani N., Wada K., Sakakibara F. et al. “Reverse” bypass using a naturally formed “bonnet” superficial temporal artery in symptomatic common carotid artery occlusion: a case report. Neurol Med Chir (Tokyo) 2014;54(10):851–3.Otani N., Wada K., Sakakibara F. et al. “Reverse” bypass using a naturally formed “bonnet” superficial temporal artery in symptomatic common carotid artery occlusion: a case report. Neurol Med Chir (Tokyo) 2014;54(10):851–3.Wada K., Otani N., Toyooka T. et al. Superficial temporal artery to anterior cerebral artery hemi-bonnet bypass using radial artery graft for prevention of complications after surgical treatment of partially thrombosed large/giant anterior cerebral artery aneurysm. J Stroke Cerebrovasc Dis 2018;27(12):3505–10. DOI: 10.1016/j.jstrokecerebrovasdis.2018.08.020.Wada K., Otani N., Toyooka T. et al. Superficial temporal artery to anterior cerebral artery hemi-bonnet bypass using radial artery graft for prevention of complications after surgical treatment of partially thrombosed large/giant anterior cerebral artery aneurysm. J Stroke Cerebrovasc Dis 2018;27(12):3505–10. DOI: 10.1016/j.jstrokecerebrovasdis.2018.08.020.Spetzler R.F., Roski R.A., Rhodes R.S., Modic M.T. The “bonnet bypass”: case report. J Neurosurg 1980;53(5):707–9. DOI: 10.3171/jns.1980.53.5.0707.Spetzler R.F., Roski R.A., Rhodes R.S., Modic M.T. The “bonnet bypass”: case report. J Neurosurg 1980;53(5):707–9. DOI: 10.3171/jns.1980.53.5.0707.Garrido E., Freed M.H. Fatal complication of the “bonnet bypass”: case report. Neurosurgery 1983;13(3):320–1.Garrido E., Freed M.H. Fatal complication of the “bonnet bypass”: case report. Neurosurgery 1983;13(3):320–1.Ausman J.I., Tiel R.L., Mehta B.A. et al. “Reverse” superficial temporal arterymiddle cerebral artery bypass. Surg Neurol 1985;23(6):614–6.Ausman J.I., Tiel R.L., Mehta B.A. et al. “Reverse” superficial temporal arterymiddle cerebral artery bypass. Surg Neurol 1985;23(6):614–6.Sanada Y., Kamiyama H., Iwaisako K. et al. “Bonnet” bypass to proximal trunk of middle cerebral artery with a radial artery interposition graft: technical note. Minim Invasive Neurosurg 2010;53(4): 203–6. DOI: 10.1055/s-0030-1263109.Sanada Y., Kamiyama H., Iwaisako K. et al. “Bonnet” bypass to proximal trunk of middle cerebral artery with a radial artery interposition graft: technical note. Minim Invasive Neurosurg 2010;53(4): 203–6. DOI: 10.1055/s-0030-1263109.Kim K., Mizunari T., Mizutani N. et al. Giant intracranial aneurysm of the anterior communicating artery treated by direct surgery using A3–A3 side-to-side anastomosis and A3–RA graft-STA anastomosis. Acta Neurochir (Wien) 2006;148(3):353–7. DOI: 10.1007/s00701-005-0685-1.Kim K., Mizunari T., Mizutani N. et al. Giant intracranial aneurysm of the anterior communicating artery treated by direct surgery using A3–A3 side-to-side anastomosis and A3–RA graft-STA anastomosis. Acta Neurochir (Wien) 2006;148(3):353–7. DOI: 10.1007/s00701-005-0685-1.Deshmukh V.R., Porter R.W., Spetzler R.F. Use of “Bonnet” bypass with radial artery interposition graft in a patient with recurrent cranial base carcinoma: technical report of two cases and review of the literature. Neurosurgery 2005;56(1 Suppl):E202.Deshmukh V.R., Porter R.W., Spetzler R.F. Use of “Bonnet” bypass with radial artery interposition graft in a patient with recurrent cranial base carcinoma: technical report of two cases and review of the literature. Neurosurgery 2005;56(1 Suppl):E202.Toyota S., Iwaisako K., Wakayama A., Yoshimine T. Fixation and protective method for the interposition graft in bonnet bypass – technical note. Neurol Med Chir (Tokyo) 2010;50(3):263–6.Toyota S., Iwaisako K., Wakayama A., Yoshimine T. Fixation and protective method for the interposition graft in bonnet bypass – technical note. Neurol Med Chir (Tokyo) 2010;50(3):263–6.Kobayashi T., Houkin K., Ito F., Kohama Y. Transverse cervical artery bypass pedicle for treatment of common carotid artery occlusion: new adjunct for revascularization of the internal carotid artery domain. Neurosurgery 1999;45(2):299–302.Kobayashi T., Houkin K., Ito F., Kohama Y. Transverse cervical artery bypass pedicle for treatment of common carotid artery occlusion: new adjunct for revascularization of the internal carotid artery domain. Neurosurgery 1999;45(2):299–302.Усачев Д.Ю., Лукшин В.А., Пронин И.Н. и др. Хирургическое лечение больных с хронической церебральной ишемией, обусловленной окклюзиями общих сонных артерий. Журнал «Вопросы нейрохирургии им. Н.Н. Бурденко» 2013;77(3):27–35. [Usachev D.Y., Lukshin V.A., Pronin I.N. et al. Surgical treatment of patients with chronic cerebral ischemia caused by occlusion of the common carotid arteries. Zhurnal “Voprosy neirokhirurgii im. N.N. Burdenko” = Problems of Neurosurgery n. a. N.N. Burdenko 2013;77(3):27–35. (In Russ.)].Усачев Д.Ю., Лукшин В.А., Пронин И.Н. и др. Хирургическое лечение больных с хронической церебральной ишемией, обусловленной окклюзиями общих сонных артерий. Журнал «Вопросы нейрохирургии им. Н.Н. Бурденко» 2013;77(3):27–35. [Usachev D.Y., Lukshin V.A., Pronin I.N. et al. Surgical treatment of patients with chronic cerebral ischemia caused by occlusion of the common carotid arteries. Zhurnal “Voprosy neirokhirurgii im. N.N. Burdenko” = Problems of Neurosurgery n. a. N.N. Burdenko 2013;77(3):27–35. (In Russ.)].Klonaris C., Kouvelos G.N., Kafeza M. et al. Common carotid artery occlusion treatment: revealing a gap in the current guidelines. Eur J Vasc Endovasc Surg 2013; 46(3):291–8. DOI: 10.1016/j.ejvs.2013.06.006.Klonaris C., Kouvelos G.N., Kafeza M. et al. Common carotid artery occlusion treatment: revealing a gap in the current guidelines. Eur J Vasc Endovasc Surg 2013; 46(3):291–8. DOI: 10.1016/j.ejvs.2013.06.006.Ausman J.I., Lindsay W., Ramsay R.C., Chou S.N. Ipsilateral subclavian to external carotid and STA-MCA bypasses for retinal ischemia. Surg Neurol 1978;9(1):5–8.Ausman J.I., Lindsay W., Ramsay R.C., Chou S.N. Ipsilateral subclavian to external carotid and STA-MCA bypasses for retinal ischemia. Surg Neurol 1978;9(1):5–8.Lawton M.T., Probst K.X. Seven bypasses: tenets and techniques for revascularization. New York; Stuttgart: Thieme, 2018. 698 p.Lawton M.T., Probst K.X. Seven bypasses: tenets and techniques for revascularization. New York; Stuttgart: Thieme, 2018. 698 p.

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