Superficial temporal artery: Middle cerebral artery bypass, our series of 20 cases, surgical technique and indications with illustrative cases

Abderrahmane Cheikh; Yamada Yasuhiro; Sudhakar Kasinathan; Tsukasa Kawase; Teranishi Takao; Yoko Kato

doi:10.4103/ajns.AJNS_220_18

Asian Journal of Neurosurgery, Table of Contents

CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 670-677
DOI: 10.4103/ajns.AJNS_220_18

Review Article

Superficial temporal artery: Middle cerebral artery bypass, our series of 20 cases, surgical technique and indications with illustrative cases

Authors

Abderrahmane Cheikh

Department of Neurosurgery, Ali Ait Idir Hospital and Medical School of Algiers, Algiers University
Yamada Yasuhiro

Department of Neurosurgery, Ali Ait Idir Hospital and Medical School of Algiers, Algiers University
Sudhakar Kasinathan

¹Department of Neurosurgery, Institute of Neurosurgery, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu
Tsukasa Kawase

Department of Neurosurgery, Ali Ait Idir Hospital and Medical School of Algiers, Algiers University
Teranishi Takao

Department of Neurosurgery, Ali Ait Idir Hospital and Medical School of Algiers, Algiers University
Yoko Kato

²Department of Neurosurgery, Banbutane Hotkukai Hospital, Fujita Health University, Toyoake, Nagoya, Aichi Prefecture

Abstract

The first extracranial-intracranial (EC-IC) bypass surgery was performed by professor Yasargil in 1967 since then this procedure has been widely used in vascular neurosurgery and sometimes, in tumors excision when a vascular sacrifice is necessary. In this article, we will illustrate the surgical technique of the superficial temporal artery-middle cerebral artery (STA-MCA) bypass with two cases; a 59-year-old male and 64-year-old female who presented with an occlusion of the MCA. The male presented also with a posterior communicating artery-IC aneurysm which was clipped in the same sitting. We also studied in this paper a series of 20 patients operated in Banbuntane Hotokukai Hospital, Fujita Health University, for which a low-flow STA-MCA anastomosis was done for steno-occlusive disease or moyamoya disease. In Banbuntane Hotokukai Hospital, Fujita Health University, 20 patients were operated since 2015, 12 patients were male. Five patients presented with moyamoya disease, while 15 patients presented with vascular steno-occlusive disease. The steno-occlusion was found in internal carotid artery in nine patients. The patients were divided into two categories (steno-occlusive disease and moyamoya). STA-MCA bypass is now one of the basic techniques to master in vascular neurosurgery. It requires to perform the anastomosis correctly within the permissible time. The goal is to have a long-term patency for the anastomosed vessel.

Key-words:

Low flow bypass - moyamoya disease - steno-occlusive cerebrovascular disease - stroke - superficial temporal artery-middle cerebral artery bypass

Full Text

References

References
1 Wessels L, Hecht N, Vajkoczy P. Bypass in neurosurgery – Indications and techniques. Neurosurg Rev 2018;1:1-5.
2 Vilela MD, Newell DW. Superficial temporal artery to middle cerebral artery bypass: Past, present, and future. Neurosurg Focus 2008;24:E2.
3 Sekhar LN, Natarajan SK, Ellenbogen RG, Ghodke B. Cerebral revascularization for ischemia, aneurysms, and cranial base tumors. Neurosurgery 2008;62:1373-408.
4 Hwang G, Oh CW, Bang JS, Jung CK, Kwon OK, Kim JE, et al. Superficial temporal artery to middle cerebral artery bypass in acute ischemic stroke and stroke in progress. Neurosurgery 2011;68:723-9.
5 Rodríguez-Hernández A, Josephson SA, Lawton MT. Bypass surgery for the prevention of ischemic stroke: Current indications and techniques. Neurocirugia (Astur) 2012;23:5-14.
6 Horiuchi T, Nitta J, Ishizaka S, Kanaya K, Yanagawa T, Hongo K, et al. Emergency EC-IC bypass for symptomatic atherosclerotic ischemic stroke. Neurosurg Rev 2013;36:559-64.
7 Thines L, Durand A, Penchet G, Proust F, Lenci H, Debailleul A, et al. Microsurgical neurovascular anastomosis: The example of superficial temporal artery to middle cerebral artery bypass. Technical principles. Neurochirurgie 2014;60:158-64.
8 Morton RP, Moore AE, Barber J, Tariq F, Hare K, Ghodke B, et al. Monitoring flow in extracranial-intracranial bypass grafts using duplex ultrasonography: A single-center experience in 80 grafts over 8 years. Neurosurgery 2014;74:62-70.
9 Miyamoto S, Yoshimoto T, Hashimoto N, Okada Y, Tsuji I, Tominaga T, et al. Effects of extracranial-intracranial bypass for patients with hemorrhagic moyamoya disease: Results of the Japan adult moyamoya trial. Stroke 2014;45:1415-21.
10 Ma Y, Yang F, Jiao L, Li M, Wang Y, Chen Y, et al. Superficial temporal artery-middle cerebral artery bypass surgery for refractory symptomatic intracranial atherosclerotic stenosis. World Neurosurg 2017;104:74-81.
11 Wang D, Zhu F, Fung KM, Zhu W, Luo Y, Chu WC, et al. Predicting cerebral hyperperfusion syndrome following superficial temporal artery to middle cerebral artery bypass based on intraoperative perfusion-weighted magnetic resonance imaging. Sci Rep 2015;5:14140.
12 Mukerji N, Cook DJ, Steinberg GK. Is local hypoperfusion the reason for transient neurological deficits after STA-MCA bypass for moyamoya disease? J Neurosurg 2015;122:90-4.
13 Jinnouchi J, Toyoda K, Inoue T, Fujimoto S, Gotoh S, Yasumori K, et al. Changes in brain volume 2 years after extracranial-intracranial bypass surgery: A preliminary subanalysis of the Japanese EC-IC trial. Cerebrovasc Dis 2006;22:177-82.
14 Amin-Hanjani S, Singh A, Rifai H, Thulborn KR, Alaraj A, Aletich V, et al. Combined direct and indirect bypass for moyamoya: Quantitative assessment of direct bypass flow over time. Neurosurgery 2013;73:962-7.
15 Abla AA, Gandhoke G, Clark JC, Oppenlander ME, Velat GJ, Zabramski JM, et al. Surgical outcomes for moyamoya angiopathy at barrow neurological institute with comparison of adult indirect encephaloduroarteriosynangiosis bypass, adult direct superficial temporal artery-to-middle cerebral artery bypass, and pediatric bypass: 154 revascularization surgeries in 140 affected hemispheres. Neurosurgery 2013;73:430-9.
16 Sanai N, Zador Z, Lawton MT. Bypass surgery for complex brain aneurysms: An assessment of intracranial-intracranial bypass. Neurosurgery 2009;65:670-83.
17 Kivipelto L, Niemelä M, Meling T, Lehecka M, Lehto H, Hernesniemi J, et al. Bypass surgery for complex middle cerebral artery aneurysms: Impact of the exact location in the MCA tree. J Neurosurg 2014;120:398-408.
18 Matano F, Murai Y, Tateyama K, Mizunari T, Umeoka K, Koketsu K, et al. Perioperative complications of superficial temporal artery to middle cerebral artery bypass for the treatment of complex middle cerebral artery aneurysms. Clin Neurol Neurosurg 2013;115:718-24.
19 Millesi M, Wang WT, Herta J, Bavinzski G, Knosp E, Gruber A, et al. De novo aneurysm formation at the anastomosis site incidentally detected 2 years after single-barrel STA-MCA bypass surgery: Case report and review of the literature. J Neurol Surg A Cent Eur Neurosurg 2015;76:323-7.
20 Horiuchi T, Tsutsumi K, Hasegawa T, Hongo K. Rescue revision techniques for end-to-side anastomosis: Technical note. Surg Neurol Int 2014;5:94.
21 Gross BA, Du R. STA-MCA bypass. Acta Neurochir (Wien) 2012;154:1463-7.