{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T18:04:05Z","timestamp":1786125845247,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2021,2,7]],"date-time":"2021-02-07T00:00:00Z","timestamp":1612656000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    We present the case of a 34-yr-old male who suffered repeated ischemic events resulting in right-sided weakness. He was found to have left M1 segment near occlusion on angiography with a large area of uncompensated hypoperfusion. The patient underwent a direct superficial temporal artery-middle cerebral artery (STA-MCA) bypass. Direct bypass in the acute setting of ischemia has been previously described.1\u20135\n                    <jats:sup>-<\/jats:sup>\n                    <jats:sup>5<\/jats:sup>\n                    Moyamoya ischemic disease can be treated with either direct or indirect surgical revascularization. There have been several techniques developed for direct bypasses in moyamoya ischemic disease. These include the standard 1-donor 1-recipient (1D1R) end-to-side (ES) bypass, the \u201cdouble-barrel\u201d 2-donor 2-recipient (2D2R) ES bypass, and the more recently developed 1-donor 2-recipient (1D2R)\n                    <jats:sup>6<\/jats:sup>\n                    <jats:sup>,<\/jats:sup>\n                    <jats:sup>7<\/jats:sup>\n                    utilizing both an ES and a side-to-side (SS) bypass with a 1-donor vessel. The case presentation, surgical anatomy, decision-making, operative nuances, and postoperative course and outcome are reviewed. The patient gave verbal consent for participating in the procedure and surgical video.\n                  <\/jats:p>","DOI":"10.1093\/ons\/opab010","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T14:17:32Z","timestamp":1612793852000},"page":"E437-E437","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["A 1-Donor 2-Recipient Superficial Temporal Artery-Middle Cerebral Artery Bypass for Moyamoya Syndrome: 2-Dimensional Operative Video"],"prefix":"10.1227","volume":"20","author":[{"given":"Nickalus R","family":"Khan","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Miami Miller School of Medicine, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques J","family":"Morcos","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Miami Miller School of Medicine, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,6]]},"reference":[{"key":"bib1-20251027","doi-asserted-by":"crossref","first-page":"e476","DOI":"10.1016\/j.wneu.2017.10.005","article-title":"Emergency extracranial-intracranial bypass to revascularize salvageable brain tissue in acute ischemic stroke patients","volume":"109","author":"Burkhardt","year":"2018","journal-title":"World Neurosurg"},{"issue":"8","key":"bib2-20251027","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1016\/j.clineuro.2012.11.022","article-title":"Early superficial temporal artery to middle cerebral artery bypass in acute ischemic stroke","volume":"115","author":"Lee","year":"2013","journal-title":"Clin Neurol Neurosurg"},{"issue":"3","key":"bib3-20251027","doi-asserted-by":"crossref","first-page":"666","DOI":"10.3171\/2009.5.JNS081556","article-title":"Emergency extracranial-intracranial bypass surgery for acute ischemic stroke","volume":"112","author":"Nussbaum","year":"2010","journal-title":"J Neurosurg"},{"issue":"5","key":"bib4-20251027","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1093\/ons\/opx041","article-title":"Patient selection and clinical efficacy of urgent superficial temporal artery-middle cerebral artery bypass in acute ischemic stroke using advanced magnetic resonance imaging techniques","volume":"13","author":"Park","year":"2017","journal-title":"Oper Neurosurg"},{"issue":"5","key":"bib5-20251027","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1093\/neuros\/nyy411","article-title":"Early versus delayed extracranial-intracranial bypass surgery in symptomatic atherosclerotic occlusion","volume":"85","author":"Rice","year":"2019","journal-title":"Neurosurgery"},{"issue":"1","key":"bib6-20251027","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1093\/ons\/opy091","article-title":"Side-to-side and end-to-side double anastomosis using the parietal-branch of the superficial temporal artery\u2014a novel technique for extracranial to intracranial bypass surgery: 3-dimensional operative video","volume":"16","author":"Arnone","year":"2019","journal-title":"Oper Neurosurg"},{"issue":"4","key":"bib7-20251027","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1093\/ons\/opy396","article-title":"Single vessel double anastomosis for flow augmentation-a novel technique for direct extracranial to intracranial bypass surgery","volume":"17","author":"Arnone","year":"2019","journal-title":"Oper Neurosurg"}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ons\/article-pdf\/20\/6\/E437\/37908047\/opab010.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opab010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:03:06Z","timestamp":1786122186000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opab010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,7]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1093\/ons\/opab010","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,7]]},"assertion":[{"value":"2020-10-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}