The superficial temporal artery to middle artery bypass is a technique that allows
the blood supply from the extracranial carotid circulation to be routed to the distal
middle cerebral artery branches. The procedure allows blood flow to bypass proximal
lesions of the intracranial vasculature. The performance of this bypass requires specialized
microvascular training and the use of microvascular techniques. The techniques involved
in performing these procedures include microdissection of the superficial temporal
artery in the scalp, microdissection of the recipient middle cerebral artery branches
near the sylvian fissure, and anastomosis techniques using either microvascular sutures
or a microanastomotic device. The successful completion of the bypass and subsequent
patency requires meticulous attention to technical details.
Middle cerebral artery - superficial temporal artery to middle cerebral artery bypass
- cerebral revascularization
