Skull Base 2005; 15(2): 133-141
DOI: 10.1055/s-2005-870599
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Superficial Temporal Artery to Middle Cerebral Artery Bypass

David W. Newell1
  • 1Seattle Neuroscience Swedish Hospital Medical Center, Seattle, Washington
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Publication History

Publication Date:
02 June 2005 (online)

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ABSTRACT

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.