{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:44:28Z","timestamp":1778892268137,"version":"3.51.4"},"reference-count":23,"publisher":"Korean Society of Cerebrovascular Surgeons\/Korean Society of Endovascular Surgery","issue":"1","license":[{"start":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T00:00:00Z","timestamp":1700784000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["the-jcen.org"],"crossmark-restriction":true},"short-container-title":["J Cerebrovasc Endovasc Neurosurg"],"published-print":{"date-parts":[[2024,3,31]]},"abstract":"<jats:p>Since the first description of the possible utilization of the internal maxillary artery for bypass surgery, there are some reports of its use in aneurysm cases; however, there is no information about the possible advantages of this type of bypass for cerebral ischemic disease.We present a 77-year-old man with a history of diabetes, hypertension, systemic atherosclerosis, and two acute myocardial infarctions with left hemiparesis. Imaging studies reported total occlusion of the right internal carotid artery and 75% occlusion on the left side, with an old opercular infarction and repeated transient ischemic attacks in the right middle cerebral artery territory despite medical treatment. After a consensus, we decided to perform a bypass from the internal maxillary artery to the M2 segment of the middle cerebral artery using a radial artery graft. After performing the proximal anastomosis, the calculated graft\u2019s free flow was 216 ml\/min. Subsequently, after completing the bypass, the patency was confirmed with fluorescein videoangiography and intraoperative Doppler. Postoperatively, imaging studies showed improvement in the perfusion values and the hemiparesis from 3\/5 to 4+\/5. The patient was discharged one week after the operation, with a modified Rankin scale of 1, without added deficits.The use of revascularization techniques in steno-occlusive disease indicates a select group of patients that may benefit from this procedure. In addition, internal maxillary artery bypass has provided a safe option for large areas of ischemia that cannot be supplied with a superficial temporal artery - middle cerebral artery bypass.<\/jats:p>","DOI":"10.7461\/jcen.2023.e2022.11.003","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T01:42:41Z","timestamp":1701740561000},"page":"51-57","update-policy":"https:\/\/doi.org\/10.7461\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Internal maxillary artery (IMax) \u2013 middle cerebral artery bypass in a patient with bilateral atherosclerotic carotid occlusion: A technical case report"],"prefix":"10.7461","volume":"26","author":[{"given":"Javier","family":"Degollado-Garc\u00eda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin 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