Department of Neurosurgery, Osaka Medical College, 2-7, Daigaku-machi, Takatsuki City, Osaka 569-8686, Japan.
Acta Neurochir (Wien). 2011 Aug;153(8):1645-8; discussion 1648. doi: 10.1007/s00701-011-1035-0. Epub 2011 May 8.
Double superficial temporal artery (STA) to middle cerebral artery (MCA) bypass surgery has typically involved more than one linear incision. In this report, we demonstrate how the procedure can be performed through a single linear skin incision over the parietal branch of the STA.
Initial dissection of the parietal branch and creation of a subcutaneous cavity along the frontal branch were performed using the conventional microscopic method. Detailed additional dissection and isolation of the frontal branch were accomplished with the aid of an endoscopic retractor.
This procedure was performed in five patients for harvesting of approximately 8- and 5-cm lengths of the parietal and frontal branches, respectively. The resultant lengths of the harvested vessels were sufficient for anastomotic revascularization of MCA recipient arteries in both the frontal and temporal lobes.
This method can be safely performed with achievement of a less invasive dissection of the STA and an overall improved cosmetic outcome.
双额浅动脉（STA）到大脑中动脉（MCA）搭桥手术通常需要不止一个线性切口。在本报告中，我们展示了如何通过在 STA 的顶支上进行单个线性皮肤切口来完成该手术。
使用传统的显微镜方法对顶支进行初步解剖，并沿着额支创建皮下腔。借助内镜牵开器完成额支的详细额外解剖和分离。
该手术在五名患者中进行，分别采集了约 8 厘米和 5 厘米长的顶支和额支。采集的血管长度足以进行额、颞叶 MCA 受体动脉的吻合再血管化。
这种方法可以安全进行，STA 的侵入性更小，整体美容效果更好。
