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By utilizing a coil, the proximal portion of the parent artery was permanently occluded after the bypass. By way of postoperative DSA, CTA, and CTP, the augmentation and patency of the STA were re-evaluated. At the time of admission and three months later, ultrasound was used to measure the STA's blood flow volume. Twelve consecutive patients (5 men, 7 women) who were successful recipients of double-barrel STA-M4 bypass procedures, which involved