{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:59:58Z","timestamp":1780736398730,"version":"3.54.1"},"reference-count":36,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2008,2]]},"abstract":"<jats:sec>\n                    <jats:title>Object<\/jats:title>\n                    <jats:p>The superficial temporal artery (STA) is the mainstay of donor vessels for extracranial\u2013intracranial bypass in cerebral revascularization. However, the typically used STA anterior or posterior branch is not always adequate in its flow-carrying capacity. In this report the authors describe the use of the STA trunk at the level of the zygoma as an alternative donor and highlight the benefits and pitfalls of this revascularization option.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The authors reviewed the cases of 4 patients in whom the STA trunk was used as a donor site for anastomosis of a short interposition vein graft. The graft was implanted into the middle cerebral artery to trap a cartoid aneurysm in 2 patients, and the posterior cerebral artery for vertebrobasilar insufficiency in the other 2. Discrepancies in size between the interposition vein and STA trunk were compensated for by a beveled end-to-end anastomosis or by implanting the STA trunk into the vein graft in an end-to-side fashion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Intraoperative flow measurements confirmed the significantly higher flow-carrying capacity of the STA trunk (54\u2013100 ml\/minute) compared with its branches (10\u201328 ml\/minute). The STA trunk interposition graft has several advantages compared with an interposition graft to the cervical carotid, including a shorter graft and no need for a neck incision. However, in the setting of ruptured aneurysm trapping, with the risk of subsequent vasospasm, it is a poor conduit for endovascular therapies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The STA trunk is a valuable donor option for cerebral revascularization, but should be avoided in the setting of subarachnoid hemorrhage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/foc\/2008\/24\/2\/e7","type":"journal-article","created":{"date-parts":[[2008,2,14]],"date-time":"2008-02-14T15:12:19Z","timestamp":1203001939000},"page":"E7","source":"Crossref","is-referenced-by-count":48,"title":["The superficial temporal artery trunk as a donor vessel in cerebral revascularization: benefits and pitfalls"],"prefix":"10.3171","volume":"24","author":[{"given":"Ali","family":"Alaraj","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Illinois at Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William W.","family":"Ashley","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Illinois at Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fady T.","family":"Charbel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Illinois at Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sepideh","family":"Amin-Hanjani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Illinois at Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0240007","series-title":"Neurosurgery","first-page":"75","article-title":"The cut flow index: an intraoperative predictor of the success of extracranial-intracranial bypass for occlusive cerebrovascular disease","volume":"56","author":"Amin-Hanjani","year":"2005"},{"key":"b2-0240007","series-title":"Neurosurgery","first-page":"ONS305","article-title":"The utility of intraoperative blood flow measurement during aneurysm surgery using an ultrasonic perivascular flow probe","volume":"58","author":"Amin-Hanjani","year":"2006"},{"key":"b3-0240007","series-title":"N Engl J Med","first-page":"1191","article-title":"Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke. Results of an international randomized trial. The EC\/IC Bypass Study Group","volume":"313","year":"1985"},{"key":"b4-0240007","series-title":"Neurol Res","first-page":"439","article-title":"Ultrasonic perivascular flow probe: technique and application in neurosurgery","volume":"20","author":"Charbel","year":"1998"},{"issue":"1 Suppl","key":"b5-0240007","series-title":"Neurosurgery","first-page":"186","article-title":"Superficial temporal artery-to-middle cerebral artery bypass","volume":"56","author":"Charbel","year":"2005"},{"key":"b6-0240007","series-title":"J Neurosurg","first-page":"806","article-title":"Giant petrous carotid aneurysm treated by submandibular carotid-saphenous vein bypass. Case report","volume":"94","author":"Couldwell","year":"2001"},{"issue":"1 Suppl","key":"b7-0240007","series-title":"Neurosurgery","first-page":"E202","article-title":"Use of \u201cbonnet\u201d bypass with radial artery interposition graft in a patient with recurrent cranial base carcinoma: technical report of two cases and review of the literature","volume":"56","author":"Deshmukh","year":"2005"},{"issue":"1 Suppl","key":"b8-0240007","series-title":"Neurosurgery","first-page":"E207","article-title":"Revascularization of the anterior cerebral artery with an A3-a3 anastomosis and a superficial temporal artery bypass using an A3-radial artery graft to trap a giant anterior communicating artery aneurysm: technical case report","volume":"57","author":"Inoue","year":"2005"},{"key":"b9-0240007","series-title":"Microsurgery","first-page":"14","article-title":"An interposed superficial temporal artery graft bypass for anterior cerebral artery ischemia","volume":"9","author":"Iwata","year":"1988"},{"key":"b10-0240007","series-title":"Arch Pathol","first-page":"278","article-title":"Spectrum of aging changes in temporal arteries. Its significance, in interpretation of biopsy of temporal artery","volume":"90","author":"Lie","year":"1970"},{"key":"b11-0240007","series-title":"J Neurosurg","first-page":"384","article-title":"Short vein grafts for cerebral revascularization","volume":"59","author":"Little","year":"1983"},{"key":"b12-0240007","series-title":"Neurosurgery","first-page":"1441","article-title":"Superficial temporal artery to middle cerebral artery bypass","volume":"54","author":"Newell","year":"2004"},{"key":"b13-0240007","series-title":"Neurosurg Rev","first-page":"77","article-title":"Extracranial-intracranial (EC\/IC) bypass in the treatment of giant intracranial aneurysms","volume":"5","author":"Peerless","year":"1982"},{"key":"b14-0240007","series-title":"Neurosurgery","first-page":"321","article-title":"Cerebral revascularization for aneurysms and tumors","volume":"50","author":"Sekhar","year":"2002"},{"key":"b15-0240007","series-title":"J Neurosurg","first-page":"35","article-title":"Saphenous vein graft bypass of the cavernous internal carotid artery","volume":"72","author":"Sekhar","year":"1990"},{"key":"b16-0240007","series-title":"J Neurosurg","first-page":"707","article-title":"The \u201cbonnet bypass\u201d. 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