{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T09:30:14Z","timestamp":1769938214539,"version":"3.49.0"},"reference-count":53,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["SVIN"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">To systematically summarize and critically review the available literature regarding the functional outcome of the urgent superficial temporal artery to the middle cerebral artery (MCA) bypass surgery in stroke patients associated with MCA lesions.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              The current systematic review was conducted and reported using the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analysis statement. Medline (PubMed), ISI Web of Science, Scopus, and google scholar (manually searches) were systematically searched up to August 2021. The eligibility criteria were defined as all the patients who had MCA\u2010territory strokes due to MCA\/intradural internal carotid artery lesions that underwent same\u2010admission superficial temporal artery\u2010MCA bypass surgery. The strokes with cervical internal carotid artery and anterior cerebral artery lesions\/strokes were excluded. The checklists produced by the US National Heart Lung and Blood Institute were used for quality assessment. Demographic variables, clinical findings, National Institutes of Health Stroke Scale scores, the time interval between symptoms to surgery, imaging results, endovascular treatments, surgical notes, mortality rate, follow\u2010up findings, modified Rankin scale scores, and all reported medical records were extracted and analyzed with SPSS software (ver. 23).\n              <jats:italic>P<\/jats:italic>\n              values \u22640.05 were considered meaningful.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Results<\/jats:title>\n            <jats:p xml:lang=\"en\">The initial search yielded 3050 records, and 13 articles met the inclusion criteria and entered this systematic review. A total of 165 patients were pooled for data analysis. Nine studies had data regarding neurological deficits before and after surgery. Except for 5 patients, the National Institutes of Health Stroke Scale score after the operation was the same or better than the preoperative score. Eleven out of 17 patients in 3 studies showed early neurological improvement (a decrease in National Institutes of Health Stroke Scale score of \u22654 points at 3 days) after bypass surgery. Functional outcome was stated in 10 studies. Overall, a good functional outcome (modified Rankin scale=0\u20132) was achieved in 9 out of 21 (42.1%) patients at discharge and in 44 out of 59 (74.5%) patients at 3\u00a0months follow\u2010up. Lower age was associated with favorable outcomes. Long\u2010term graft patency was excellent in 99.5% of patients. Postoperative hematoma and mortality (all noncranial) rates were 3% and 3.6%, respectively.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p xml:lang=\"en\">The current study suggests that early superficial temporal artery\u2010MCA revascularization should be considered an available option in younger patients (&lt;60\u2010year\u2010old) with MCA territory strokes who fail medical treatment.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/svin.121.000281","type":"journal-article","created":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T07:11:26Z","timestamp":1659337886000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["The Role of Early Superficial Temporal to Middle Cerebral Artery Bypass Revascularization Surgery in Middle Cerebral Artery\u2010Territory Strokes: A Systematic Review Study"],"prefix":"10.1161","volume":"2","author":[{"given":"Masih","family":"Sabouri","sequence":"first","affiliation":[{"name":"Department of Neurosurgery School of Medicine Isfahan University of Medical Sciences Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bahram","family":"Aminmansour","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery School of Medicine Isfahan University of Medical Sciences Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8998-9446","authenticated-orcid":false,"given":"Arman","family":"Sourani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery School of Medicine Isfahan University of Medical Sciences Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Sharafi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery School of Medicine Isfahan University of Medical Sciences Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Sahraei","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery School of Medicine Isfahan University of Medical Sciences Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvin","family":"Rahimi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery School of Medicine Isfahan University of Medical Sciences Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saeid","family":"Saghaei","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery School of Medicine Isfahan University of Medical Sciences Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadegh","family":"Baradaran Mahdavi","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation School of Medicine Student Research Committee Child Growth and Development Research Center Research Institute for Primordial Prevention of Non\u2010Communicable Disease Isfahan University of Medical Sciences Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6640-7493","authenticated-orcid":false,"given":"Mina","family":"Foroughi","sequence":"additional","affiliation":[{"name":"Student Research Committee Isfahan University of Medical Sciences Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"crossref","DOI":"10.1590\/0034-7167-2018-0868","article-title":"Burden on caregivers of patients with sequelae of cerebrovascular accident","volume":"73","author":"Costa TFd","year":"2020","unstructured":"Costa TFd, Pimenta CJL, N\u00f3brega MMLd, Fernandes MdGM, Fran\u00e7a ISXd, Pontes MdLdF, Costa KNFM. 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