Work

Superficial temporal artery to superior cerebellar artery bypass: how I do it

Year: 2026

Type: article

Abstract: Superficial temporal artery (STA) to superior cerebellar artery (SCA) bypass is a deep and demanding posterior circulation revascularisation procedure. We describe our step-by-step technique through a subtemporal approach, illustrated with intraoperative images and schematic drawings, emphasising flattening of the middle fossa floor, mobilisation of the vein of Labbé, tentorial division, protection of the trochlear nerve, and shallowing of the anastomotic field. Together these nuances reduce the retraction force required, protect the trochlear nerve, and facilitate suturing within a deep and narrow corridor.

Source: Acta Neurochirurgica

DOI: 10.1007/s00701-026-07085-x

Authors: Duy Pham, Nakao Ota, Yasuaki Okada, Rokuya Tanikawa

Institutions: VNU University of Medicine and Pharmacy, Sapporo Teishinkai Hospital

Language: English

Topic: Moyamoya disease diagnosis and treatment

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,990