Superficial Temporal Artery to Middle Cerebral Artery (STA-MCA) bypass: How I do it.
TL;DR
This report outlines essential principles for safe and durable STA–MCA bypass revascularization, including donor and recipient vessel preparation, microanastomosis, and intraoperative patency assessment.
OpenAlex 토픽 ·
Moyamoya disease diagnosis and treatment
Cerebrovascular and Carotid Artery Diseases
Intracranial Aneurysms: Treatment and Complications
APA
Paolo Palmisciano, Bruno Vernile, et al. (2026). Superficial Temporal Artery to Middle Cerebral Artery (STA-MCA) bypass: How I do it.. Acta neurochirurgica, 168(1), 39. https://doi.org/10.1007/s00701-026-06799-2
MLA
Paolo Palmisciano, et al.. "Superficial Temporal Artery to Middle Cerebral Artery (STA-MCA) bypass: How I do it.." Acta neurochirurgica, vol. 168, no. 1, 2026, pp. 39.
PMID
41701227
Abstract
The superficial temporal artery-middle cerebral artery (STA-MCA) bypass remains a key extracranial-intracranial revascularization technique for moyamoya disease, complex aneurysms, and symptomatic steno-occlusive pathology not amenable to endovascular treatment. Effective bypass requires detailed knowledge of STA and MCA anatomy, comprehensive preoperative imaging, and meticulous microsurgical planning. We describe a stepwise operative strategy including donor and recipient vessel preparation, microanastomosis, and intraoperative patency assessment. Technical nuances, complication avoidance, and postoperative management are emphasized. This report outlines essential principles for safe and durable STA-MCA bypass revascularization.
MeSH Terms
Humans; Cerebral Revascularization; Temporal Arteries; Middle Cerebral Artery; Moyamoya Disease; Microsurgery; Intracranial Aneurysm