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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

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

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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