STA-enhanced vascularized galeal flap for revascularization of moyamoya disease: technical report.

Tanahashi, Kuniaki; Zomorodi, Ali R; Fukushima, Takanori · Acta Neurochir (Wien) · 2020

case_report · Level V

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Abstract

A variety of revascularization techniques have been reported for the management of moyamoya disease to prevent risks of stroke. STA (superficial temporal artery)-MCA (middle cerebral artery) microanastomosis, single or double bypass, with temporal muscle or galeal onlay graft has been the standard operative procedure. Our rationale of revascularization surgery has been a combination of STA-MCA double bypass using the frontal and the parietal branches of STA and transfer of a highly vascularized thick galeal flap with maintained STA vasculature. This STA-enhanced vascularized galeal flap graft is extremely effective for revascularization of moyamoya disease.

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