Anastomosis of the superficial temporal artery to the distal anterior cerebral artery with interposed cephalic vein graft

✓ A newly modified cerebral revascularization procedure for ischemia in the territory of the anterior cerebral artery in moyamoya disease is reported. The approach involves interposition of a cephalic vein graft between the superficial temporal artery and the distal anterior cerebral artery (callosomarginal artery) in combination with bilateral routine superficial temporal artery to middle cerebral artery anastomosis. The surgical technique and the possible role of this procedure are discussed.