In this study, we utilized 4D Flow MRI to assessed and compared the change of cerebral blood flow in patients with MMD before and after STA-MCA bypass surgery. Statistics indicated that BFVtotal significantly increased after bypass surgery while no differences were found in BFViICA, BFVcICA and BFVBA. This is probably because the STA-MCA bypass could directly compensate for blood flow supply and play a role in flow augmentation for the whole brain. The results of this study suggested that STA-MCA bypass could improve the cerebral blood supply without affecting the hemodynamics of other arteries, such as BA and ICA.
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