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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…mehr
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.
<p><strong>Part 1 General Concepts</strong><br>1 Perioperative Management and Considerations<br>2 General Principles of Direct Bypass Surgery<br>3 General Principles of Indirect Bypass Surgery<br><strong>Part 2 Indirect Revascularization</strong><br>4 Mulitple Burr Holes<br>5 Encephalo-myo-synangiosis<br>6 Encephalo-duro-arterio-synangiosis: Pediatric<br>7 Encephalo-duro-arterio-synangiosis: In Adults<br>8 Bifront Encephalo-duro-periosteal-synangiosis Combined with STA–MCA Bypass<br><strong>Part 3 Direct Revascularization</strong><br>9 STA–MCA Bypass for Direct Revascularization in Moyamoya Disease<br>10 Double-Barrel Bypass in Moyamoya Disease<br>11 Occipital Artery–Middle Cerebral Artery Bypass in Moyamoya Disease<br>12 STA–ACA/MCA Double Bypasses with Long Grafts<br>13 Double Anastomosis Using Only One Branch of the Superficial Temporal Artery: Single-Vessel Double Anastomosis<br><strong>Part 4 Combined Revascularization</strong><br>14 Combined STA–MCA Bypass and Encephalo-myo-synangiosis<br>15 STA–MCA Bypass and EMS/EDMS<br>16 Combined Direct (STA–MCA) and Indirect (EDAS) EC–IC Bypass<br>17 STA–MCA Anastomosis and EDMAPS<br>18 STA–MCA Bypass and Encephalo-duro-arterio-synangiosis<br>19 Individualized Extracranial-Intracranial Revascularization in the Treatment of Late-Stage Moyamoya Disease<br><strong>Part 5 Rescue Strategies for Repeat Surgery</strong><br>20 Omental–Cranial Transposition<br>21 ECA–MCA Bypass with Radial Artery Grafts<br>22 OA–MCA or OA–PCA Bypass<br>23 PAA–MCA Bypass</p>
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
<p><strong>Part 1 General Concepts</strong><br>1 Perioperative Management and Considerations<br>2 General Principles of Direct Bypass Surgery<br>3 General Principles of Indirect Bypass Surgery<br><strong>Part 2 Indirect Revascularization</strong><br>4 Mulitple Burr Holes<br>5 Encephalo-myo-synangiosis<br>6 Encephalo-duro-arterio-synangiosis: Pediatric<br>7 Encephalo-duro-arterio-synangiosis: In Adults<br>8 Bifront Encephalo-duro-periosteal-synangiosis Combined with STA–MCA Bypass<br><strong>Part 3 Direct Revascularization</strong><br>9 STA–MCA Bypass for Direct Revascularization in Moyamoya Disease<br>10 Double-Barrel Bypass in Moyamoya Disease<br>11 Occipital Artery–Middle Cerebral Artery Bypass in Moyamoya Disease<br>12 STA–ACA/MCA Double Bypasses with Long Grafts<br>13 Double Anastomosis Using Only One Branch of the Superficial Temporal Artery: Single-Vessel Double Anastomosis<br><strong>Part 4 Combined Revascularization</strong><br>14 Combined STA–MCA Bypass and Encephalo-myo-synangiosis<br>15 STA–MCA Bypass and EMS/EDMS<br>16 Combined Direct (STA–MCA) and Indirect (EDAS) EC–IC Bypass<br>17 STA–MCA Anastomosis and EDMAPS<br>18 STA–MCA Bypass and Encephalo-duro-arterio-synangiosis<br>19 Individualized Extracranial-Intracranial Revascularization in the Treatment of Late-Stage Moyamoya Disease<br><strong>Part 5 Rescue Strategies for Repeat Surgery</strong><br>20 Omental–Cranial Transposition<br>21 ECA–MCA Bypass with Radial Artery Grafts<br>22 OA–MCA or OA–PCA Bypass<br>23 PAA–MCA Bypass</p>
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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