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Available post-operative angiography demonstrated Matsushima grading A in 18 of 20 hemispheres. The mean TTP score of all 27 hemispheres improved from 5.0±3.3 pre-operatively to 12.0±2.1 after surgery (p0.001). The post-operative mean TTP score of the 7 hemispheres without angiographic follow-up was 10.4±1.8. One patient had persistent mild motor weakness after 56-month follow-up. Transient complications with full recovery occurred in 3 patients. Indirect revascularization is a safe method with satisfactory long-term results in moyamoya patient in middl