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Strategic tunnelling of superficial temporal artery during bypass surgery for moyamoya disease

  • How I Do it - Vascular Neurosurgery - Other
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Abstract

Background

The superficial temporal artery to middle cerebral artery bypass remains the favoured direct technique of cerebral revascularization in moyamoya angiopathy. We describe a novel technique of tunnelling the superficial temporal artery through the temporalis muscle.

Methods

The temporalis muscle is raised as a flap off the temporal bone. A triangular window is created on the temporalis fascia, and a tunnel is created for the superficial temporal artery to pass through the muscle belly.

Conclusion

This innovative technique allows passage of the superficial temporal artery to the brain without kink or compression ensuring good bypass function and improves long-term patency.

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Abbreviations

EDAMS:

Encephalo-duro-arterio-myo-synangiosis

STA:

Superior temporal artery

MTA:

Middle temporal artery

ECA:

External carotid artery

IMAX:

Internal maxillary artery

MCA:

Middle cerebral artery

DTA:

Deep temporal artery

MMA:

Middle meningeal artery

CSF:

Cerebrospinal fluid

References

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Authors and Affiliations

  1. Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India

    Bhanu Jayanand Sudhir, Arunkumar Karthikayan, Jamaludeen Mohammed Amjad & Keelara Gowda Arun

Authors
  1. Bhanu Jayanand Sudhir
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  2. Arunkumar Karthikayan
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  3. Jamaludeen Mohammed Amjad
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  4. Keelara Gowda Arun
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Corresponding author

Correspondence to Bhanu Jayanand Sudhir.

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Sudhir, B.J., Karthikayan, A., Amjad, J.M. et al. Strategic tunnelling of superficial temporal artery during bypass surgery for moyamoya disease. Acta Neurochir 164, 1021–1025 (2022). https://doi.org/10.1007/s00701-021-05084-8

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  • DOI: https://doi.org/10.1007/s00701-021-05084-8

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