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<p>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.</p>

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Superficial Temporal Artery to Middle Cerebral Artery (STA-MCA) bypass: How I do it

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月17日

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  • Paolo Palmisciano,
  • Bruno Vernile,
  • Sudhakar Vadivelu,
  • Mario Zuccarello

摘要

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.