• Zaki Ghali Michael George MG Department of Neurosurgery, Houston Methodist Hospital, 6560 Fannin Street, Houston, TX 77030; Department of Neurosurgery, Baylor College of , Visish M Srinivasan, and Gavin W Britz.
• Department of Neurosurgery, Houston Methodist Hospital, 6560 Fannin Street, Houston, TX 77030; Department of Neurosurgery, Baylor College of Medicine, 6560 Fannin Street, Houston, TX 77030.
• World Neurosurg. 2019 Apr 8.

AbstractCerebral revascularization is used in the treatment of treat complex aneurysms and acute and chronic cerebral occlusive disease. While STA-MCA remains the workhorse of extracranial-intracranial bypass, several approaches for the same have been developed during the past half century. The maxillary artery has shown feasibility in cadaveric studies, and utility in living patients, for achieving successful surgical revascularization. While technically challenging and unfamiliar, maxillary-intracranial bypass offers the advantages of higher flow, good caliber matching, shorter graft length, calvarial protection of the interposition graft, and versatility for revascularizing multiple intracranial targets, including the intracranial internal carotid, proximal and middle cerebral, posterior cerebral, and superior cerebellar arteries. We discuss and review the evolution of, operative approaches for, and clinical applications of maxillary artery to intracranial bypass.Copyright © 2019. Published by Elsevier Inc.

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