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Evidence of STA-MCA Bypass—History and Overseas Articles Kazumichi YOSHIDA 1 1Department of Neurosurgery, Kyoto University Graduate School of Medicine Keyword: 浅側頭動脈-中大脳動脈血管吻合術 , 動脈硬化 , 閉塞性脳血管障害 , 無作為化比較試験 , STA-MCA bypass , atherosclerosis , occlusive cerebrovascular disease , randomized control trial pp.735-744
Published Date 2022/7/10
DOI https://doi.org/10.11477/mf.1436204615
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 The superficial temporal artery to middle cerebral artery(STA-MCA)bypass technique developed by M. Gazi Yaşargil and Raymond M. P. Donaghy in the 1960s was rapidly adopted throughout the world as a procedure for surgical flow augmentation for ischemic cerebrovascular disease(CVD). However, the effectiveness of STA-MCA bypass for atherosclerotic occlusive CVD has not been proven in the extracranial-intracranial(EC-IC)bypass and carotid occlusion surgery studies(COSS), both conducted in the United States. Subsequently, the number of STA-MCA bypasses performed for atherosclerotic CVD decreased globally. In contrast, the Japanese EC-IC Bypass Trial demonstrated the efficacy of STA-MCA bypass for occlusive CVD. The number of research articles reassessing bypass surgery with appropriate indications and high quality of care has recently increased, and carotid and middle cerebral artery occlusion surgery studies designed with careful consideration for several criticisms against COSS are now being conducted in China. This article reviews foreign papers related to STA-MCA bypass for atherosclerotic CVD and describes the current consensus regarding both surgical and medical treatment.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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