In rare cases of stroke in children and youths, a likely cause is the idiopathic disease moyamoya, characterized by the slow and progressive stenosis and occlusion of the internal carotid artery and the arteries of the circle of Willis. A result of these stenoses is the formation of collaterals that are typically small and fragile, and liable to rupture.
While there is no cure for moyamoya, a variety of surgical procedures can be performed to reestablish and maintain adequate blood supply to the affected brain areas. The procedures described here include various revascularization techniques and recommended bypasses.
Key Features:
- With contributions from the world’s most renowned bypass surgeons
- Perioperative management and considerations
- An overall practical approach to this painstaking high-end surgery
- Detailed criteria for analyzing the situation and choosing the appropriate procedure
- General principles of bypass surgery, direct and indirect revascularization, and combined revascularization techniques
- Step-by-step descriptions of these procedures
- Rescue strategies when repeat surgery is necessary
Surgical Techniques in Moyamoya Vasculopathy is an indispensable guide for the experienced neurovascular surgeon.
This book includes complimentary access to a digital copy on https://medone.thieme.com.
Mục lục
Part 1 General Concepts
1 Perioperative Management and Considerations
2 General Principles of Direct Bypass Surgery
3 General Principles of Indirect Bypass Surgery
Part 2 Indirect Revascularization
4 Mulitple Burr Holes
5 Encephalo-myo-synangiosis
6 Encephalo-duro-arterio-synangiosis: Pediatric
7 Encephalo-duro-arterio-synangiosis: In Adults
8 Bifront Encephalo-duro-periosteal-synangiosis Combined with STA–MCA Bypass
Part 3 Direct Revascularization
9 STA–MCA Bypass for Direct Revascularization in Moyamoya Disease
10 Double-Barrel Bypass in Moyamoya Disease
11 Occipital Artery–Middle Cerebral Artery Bypass in Moyamoya Disease
12 STA–ACA/MCA Double Bypasses with Long Grafts
13 Double Anastomosis Using Only One Branch of the Superficial Temporal Artery: Single-Vessel Double Anastomosis
Part 4 Combined Revascularization
14 Combined STA–MCA Bypass and Encephalo-myo-synangiosis
15 STA–MCA Bypass and EMS/EDMS
16 Combined Direct (STA–MCA) and Indirect (EDAS) EC–IC Bypass
17 STA–MCA Anastomosis and EDMAPS
18 STA–MCA Bypass and Encephalo-duro-arterio-synangiosis
19 Individualized Extracranial-Intracranial Revascularization in the Treatment of Late-Stage Moyamoya Disease
Part 5 Rescue Strategies for Repeat Surgery
20 Omental–Cranial Transposition
21 ECA–MCA Bypass with Radial Artery Grafts
22 OA–MCA or OA–PCA Bypass
23 PAA–MCA Bypass
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