STA-MCA bypass.
BACKGROUND
Superficial temporal artery to middle cerebral artery (STA-MCA) bypass is a time-honored, crucial procedure employed in the management of well-selected patients with cerebrovascular ischemic disease, particularly moyamoya. In addition, its application to complex cerebral aneurysms and neoplasms requiring vessel sacrifice for complete resection continues to stand the test of time.


METHODS
We present a detailed, illustrated video demonstration of the procedure.


CONCLUSIONS
With careful attention to the surgical nuances of STA-MCA bypass, this indispensable procedure is a hemisphere-preserving technique that can be performed with high patency and low morbidity rates.
Department of Neurological Surgery, Brigham and Women's Hospital and Harvard Medical School, 75 Francis St, Boston, MA 02115, USA.
Bradley A
BA
Gross
Rose
R
Du
D002548:Cerebral Revascularization / Q000379:methods*; D002560:Cerebrovascular Circulation / Q000502:physiology; D002561:Cerebrovascular Disorders / Q000601:surgery; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery; D020768:Middle Cerebral Artery / Q000601:surgery*; D009072:Moyamoya Disease / Q000601:surgery; D013699:Temporal Arteries / Q000601:surgery*