{"title":"Dissection of superficial temporal artery for STA-M4 bypass, an integrated method. How I do it","authors":"Mohammed O. Alalfi, Sajjad Muhammad","doi":"10.1007/s00701-026-07025-9","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Extracranial-intracranial (EC-IC) bypass is an effective revascularization technique for flow augmentation in conditions including Moyamoya disease and ischemic cerebrovascular disorders. Preparation of donor vessel is a key step for EC-IC Bypass surgery. This procedure involves careful dissection and liberation of the Superficial Temporal Artery with subsequent anastomosis to branches of the middle cerebral artery re-establishing flow.</p><h3>Methods</h3><p>This article outlines a comprehensive surgical strategy, emphasizing anatomical considerations, procedural nuances, and integration of different schools of dissection with video demonstration making it didactically efficient.</p><h3>Conclusion</h3><p>Combined technique for STA dissection is fast, effective and ideal to avoid complications or adverse events.</p></div>","PeriodicalId":7370,"journal":{"name":"Acta Neurochirurgica","volume":"168 1","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00701-026-07025-9.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Neurochirurgica","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00701-026-07025-9","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Extracranial-intracranial (EC-IC) bypass is an effective revascularization technique for flow augmentation in conditions including Moyamoya disease and ischemic cerebrovascular disorders. Preparation of donor vessel is a key step for EC-IC Bypass surgery. This procedure involves careful dissection and liberation of the Superficial Temporal Artery with subsequent anastomosis to branches of the middle cerebral artery re-establishing flow.
Methods
This article outlines a comprehensive surgical strategy, emphasizing anatomical considerations, procedural nuances, and integration of different schools of dissection with video demonstration making it didactically efficient.
Conclusion
Combined technique for STA dissection is fast, effective and ideal to avoid complications or adverse events.
期刊介绍:
The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.