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Updated: May 5, 2026

Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model
Published on: November 24, 2014
[Internal thoracic artery for high-flow extra-intracranial bypass graft. Case report and literature review]
O A Pavlov1,2, A V Dubovoy3, K N Babichev1,4
1Kirov Military Medical Academy, Saint Petersburg, Russia.
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.

