Efficacy of a Modified Superficial Temporal Artery–Middle Cerebral Artery Bypass Using Superficial Temporal Artery Side-Branch Donors in Adult Moyamoya Disease: A Technical Note
The modified STA-MCA bypass maintained 100% graft patency, confirmed by indocyanine green angiography, which indicates successful surgical outcomes.
During follow-up, all patients exhibited stable or improved neurological status, with no new ischemic or hemorrhagic events reported after surgery.
Intraoperative and postoperative assessments demonstrated a mild increase in cerebral blood flow without incidents of cerebral hyperperfusion syndrome.
This preliminary analysis of five cases supports the feasibility of using side-branch STA as a donor for the bypass procedure in moyamoya disease.