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Double-barrel superficial temporal artery-middle cerebral artery bypass for internal carotid artery chronic occlusion treatment a renaissance of cerebral revascularization? Literature review

https://doi.org/10.63769/1683-3295-2026-28-2-98-103

Abstract

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. 

About the Author

V. V. Bobinov
Neurosurgical Department No. 3, Polenov Russian Scientific Research Institute of Neurosurgery – branch of Almazov National Medical Research Centrе
Russian Federation

Vasiliy Vitalyevich Bobinov

12 Mayakovskogo St., Saint Petersburg 191014



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Review

For citations:


Bobinov V.V. Double-barrel superficial temporal artery-middle cerebral artery bypass for internal carotid artery chronic occlusion treatment a renaissance of cerebral revascularization? Literature review. Russian journal of neurosurgery. 2026;28(2):98-103. (In Russ.) https://doi.org/10.63769/1683-3295-2026-28-2-98-103

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ISSN 1683-3295 (Print)
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