How I do it - extracranial-intracranial bypass surgery integrating STA-MCA anastomosis, synangiosis, MMA supply, and preservation of recipient artery perforators: the Integrated Method.

Milad Neyazi, Rajiv Kumar Khajuria, Katharina Faust, Sajjad Muhammad

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Article in Acta neurochirurgica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed

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1 citing paper in PubMed.

Dissection of superficial temporal artery for STA-M4 bypass, an integrated method. How I do it.Acta neurochirurgica · 2026
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5 · Who and what money

Authors and funding

4 authors.

Milad NeyaziDepartment of Neurosurgery, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstr. 5, Düsseldorf, Germany.

Rajiv Kumar KhajuriaDepartment of Neurosurgery, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstr. 5, Düsseldorf, Germany.

Katharina FaustDepartment of Neurosurgery, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstr. 5, Düsseldorf, Germany.

Sajjad MuhammadDepartment of Neurosurgery, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstr. 5, Düsseldorf, Germany. sajjad.muhammad@med.uni-duesseldorf.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtracranial-intracranial (EC-IC) bypass is an effective revascularization technique for flow augmentation in conditions like Moyamoya disease and ischemic cerebrovascular disorders. The approach described here combines direct bypass (STA-MCA anastomosis), indirect bypass (encephaloduromyosynangiosis, EDMS), preservation of the middle meningeal artery (MMA), and preservation of recipient artery perforators to optimize outcomes.

methodThis article outlines a comprehensive surgical strategy emphasizing anatomical considerations, procedural nuances, and the integration of direct and indirect techniques while preserving MMA and recipient artery perforators to augment collateral circulation.

conclusionThe Integrated Method described here encompasses four technical aspects so as to enhance revascularization, minimize complications, and improve long-term outcome in carefully selected patients.

Indexed as

Cerebral RevascularizationMeningeal ArteriesMiddle Cerebral ArteryMoyamoya DiseaseAnastomosis, SurgicalHumansTemporal ArteriesCerebral revascularizationDirect bypassEncephaloduromyosynangiosisExtracranial-intracranial bypassIndirect bypassMiddle meningeal arteryMoyamoya diseaseNeurovascular surgeryPerforator preservationSTA-MCA anastomosis

Identifiers

PMID41045365

DOI10.1007/s00701-025-06689-z

PMCPMC12496275

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