{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,24]],"date-time":"2024-08-24T00:28:22Z","timestamp":1724459302410},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Common carotid artery occlusion (CCAO) sometimes requires vascular reconstruction. Ipsilateral superficial temporal artery (STA)-middle cerebral artery (MCA) bypass is unsuitable due to insufficient blood flow to the external carotid artery. The bonnet bypass, one treatment option for CCAO, requires a long coronal incision and bone groove to prevent malposition and collapse of an interposition graft. However, this long incision might lead to skin complications and reduced collateral blood flow.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>A 60-year-old man who experienced recurrent ischemic stroke presented with the right internal carotid artery occlusion and left CCAO. The left STA was unavailable; however, both branches of his right STA were well-developed. Minimizing skin invasion was a priority because the patient had diabetes mellitus. We performed a right STA parietal branch \u2013 right MCA anastomosis, followed by a right STA frontal branch \u2013 left radial artery graft (RAG) \u2013 left MCA bonnet bypass using small intermittent skin incisions.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>We drilled a bone groove extending across the entire length of the interposition graft through the small intermittent skin incisions. Furthermore, we applied a right STA-RAG end-to-side anastomosis instead of an endto-end anastomosis to preserve collateral skin anastomosis. Postoperatively, the bypass remained patent, and the patient was discharged without complications.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>The bonnet bypass is a potential treatment for CCAO, but the procedure is invasive. Our modified bonnet bypass method enables less invasive management, preventing collapse and malposition of the interposition graft and minimizing skin complications.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_528_2024","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T06:41:32Z","timestamp":1724395292000},"page":"300","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Less invasive bonnet bypass with subcutaneous tunneling method for common carotid artery occlusion \u2013 A technical note"],"prefix":"10.25259","volume":"15","author":[{"given":"Yusuke","family":"Sakamoto","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sho","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Aichi Rehabilitation Hospital, Nishio, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuta","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya University Hospital, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,8,23]]},"reference":[{"key":"10.25259\/SNI_528_2024\/ref-1","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1097\/01.wno.0000189831.92504.2d","article-title":"Ocular ischemic syndrome after occlusion of both external carotid arteries","volume":"25","author":"Alizai","year":"2005","journal-title":"J Neuroophthalmol"},{"key":"10.25259\/SNI_528_2024\/ref-2","first-page":"39","article-title":"Common carotid artery occlusion: A single-center experience in 40 cases","volume":"25","author":"Belczak","year":"2016","journal-title":"Int J Angiol"},{"key":"10.25259\/SNI_528_2024\/ref-3","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1016\/0741-5214(93)90672-9","article-title":"Common carotid artery occlusion with patent internal and external carotid arteries: Diagnosis and surgical management","volume":"17","author":"Belkin","year":"1993","journal-title":"J Vasc Surg"},{"key":"10.25259\/SNI_528_2024\/ref-4","first-page":"E202","article-title":"\u201cbonnet\u201d bypass with radial artery interposition graft in a patient with recurrent cranial base carcinoma: Technical report of two cases and review of the literature","volume":"56","author":"Deshmukh","year":"2005","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_528_2024\/ref-5","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1227\/00006123-198309000-00020","article-title":"Fatal complication of the \u201cbonnet bypass\u201d: Case report","volume":"13","author":"Garrido","year":"1983","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_528_2024\/ref-6","doi-asserted-by":"crossref","first-page":"1993","DOI":"10.1007\/s00701-019-04001-4","article-title":"Bypass strategies for common carotid artery occlusion","volume":"161","author":"Hecht","year":"2019","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_528_2024\/ref-7","doi-asserted-by":"crossref","first-page":"350475","DOI":"10.1155\/2012\/350475","article-title":"Ocular circulation and chronic ocular ischemic syndrome before and after carotid artery revascularization surgery","volume":"2012","author":"Kawaguchi","year":"2012","journal-title":"J Ophthalmol"},{"key":"10.25259\/SNI_528_2024\/ref-8","doi-asserted-by":"crossref","first-page":"179","DOI":"10.2176\/nmc.53.179","article-title":"\u201cIsolated carotid bifurcation\u201d and vertebral-carotid artery bypass for common carotid artery occlusion","volume":"53","author":"Kazumata","year":"2013","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.25259\/SNI_528_2024\/ref-9","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/S0967-5868(96)90065-X","article-title":"Interposition saphenous vein bypass graft between the common and intracranial internal carotid arteries","volume":"3","author":"Morgan","year":"1996","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_528_2024\/ref-10","doi-asserted-by":"crossref","first-page":"707","DOI":"10.3171\/jns.1980.53.5.0707","article-title":"\u201cbonnet bypass\u201d. Case report","volume":"53","author":"Spetzler","year":"1980","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_528_2024\/ref-11","doi-asserted-by":"crossref","first-page":"263","DOI":"10.2176\/nmc.50.263","article-title":"Fixation and protective method for the interposition graft in bonnet bypass--technical note","volume":"50","author":"Toyota","year":"2010","journal-title":"Neurol Med Chir (Tokyo)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/less-invasive-bonnet-bypass-with-subcutaneous-tunneling-method-for-common-carotid-artery-occlusion-a-technical-note\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/less-invasive-bonnet-bypass-with-subcutaneous-tunneling-method-for-common-carotid-artery-occlusion-a-technical-note\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T06:41:41Z","timestamp":1724395301000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/less-invasive-bonnet-bypass-with-subcutaneous-tunneling-method-for-common-carotid-artery-occlusion-a-technical-note\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,23]]},"references-count":11,"alternative-id":["10.25259\/SNI_528_2024"],"URL":"https:\/\/doi.org\/10.25259\/sni_528_2024","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2024,8,23]]},"article-number":"300"}}