Current status of superficial temporal artery-middle cerebral artery (STA-MCA) bypass as cerebral revascularization for occlusive lesions and complex aneurysms in the anterior circulation

Koji Iihara, Yusuke Egashira, Takeshi Funaki, Norio Nakajima, Jun C. Takahashi, Susumu Miyamoto

Research output: Contribution to journalArticlepeer-review

Abstract

Here the authors reviewed current indications and technical standards for superficial temporal artery-middle cerebral artery (STA-MCA) bypass. STA-MCA bypass is one of the most fundamental techniques for cerebrovascular surgery. Main indications are a recently symptomatic carotid or middle cerebral artery occlusive disease with misery perfusion (stage II ischemia) proven by positron emission tomography (PET) or single photon emission computed tomography (SPECT) corresponding to the inclusion criteria of the Japanese EC-IC Bypass Trial (JET) Study. STA-MCA bypass is also indicated for flow alteration or as an isolation strategy for complex aneurysm surgery. Microsurgical training in the animal lab is a key step for successful surgery especially for younger neurosurgeons.

Original languageEnglish
Pages (from-to)579-586
Number of pages8
JournalJapanese Journal of Neurosurgery
Volume17
Issue number8
DOIs
Publication statusPublished - Aug 2008
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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