Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, No. 12 Wulumuqi Middle Road, Shanghai, China.
National Center for Neurological Disorders, Shanghai, China.
Acta Neurochir (Wien). 2022 Jul;164(7):1855-1859. doi: 10.1007/s00701-022-05255-1. Epub 2022 May 31.
Moyamoya disease (MMD) is a chronic progressive disease leading to recurrent stroke due to occlusion of the terminal internal carotid arteries. Surgical revascularization for symptomatic MMD is an effective treatment for preventing further stroke. However, direct revascularization of advanced MMD remains challenging due to small caliber of the recipient vessel and perforators.
We introduce our technique of superficial temporal artery (STA) to middle cerebral artery (MCA) bypass with figures and video to illustrate the procedure.
Surgical nuances of STA to MCA anastomosis will help cerebrovascular neurosurgeons to master low-flow bypass for MMD.
烟雾病（MMD）是一种慢性进行性疾病，由于颈内动脉终末段闭塞可导致复发性卒中。对于有症状的 MMD，手术血运重建是预防进一步卒中的有效治疗方法。然而，由于受区血管和穿支血管的口径较小，晚期 MMD 的直接血运重建仍然具有挑战性。
我们通过图片和视频介绍了 STA 至 MCA 旁路术的技术，以阐明该手术过程。
掌握 STA 至 MCA 吻合的手术细节将有助于脑血管神经外科医生掌握 MMD 的低流量旁路手术。
