Membrane Retraction Technique in Bypass Surgery for the Treatment of Adult Moyamoya Disease with Deep-Seated Recipient Artery

Wang, Gang; Qi, Songtao; Zhang, Guozhong; Wen, Yunyu; Li, Mingzhou; Zhang, Shichao; Yin, Yanyi; Orazmyradov, Berdimyrat; Feng, Wenfeng

doi:10.1016/j.wneu.2020.04.090

Cited by 2 publications

(2 citation statements)

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“…An STA to MCA bypass is strongly advised as it corrects the MMD related hemodynamic insufficiency [71,121]. For a successful result, both the donor and recipient arteries must be at least 0.8 mm in outer diameter [192].…”

Section: Indication Of Surgical Techniques For Cerebral Revascularization In Moyamoya Diseasementioning

confidence: 99%

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Surgical Treatment of Moyamoya Disease

Vanaclocha¹,

Saiz-Sapena²,

Vanaclocha³

2021

Moyamoya Disease - A Disease to Count on in Your Daily Practice

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Moyamoya disease is a rare cerebrovascular disease most prevalent in East Asian Countries. Thanks to the new diagnostic capabilities, the number of cases discovered has been rising steadily in the latest years, including many asymptomatic patients. But asymptomatic from the clinical point of view does not necessarily mean that there are no subjacent problems and that there will be no disease progression. Indeed, many patients harbour cognitive decline long before they start with clinical or even radiological manifestations. The only effective treatment is surgical revascularization, with all its possibilities: direct, indirect, and combined. While direct techniques are more useful in adult moyamoya patients, children seem to benefit most from indirect techniques. Additionally, indirect or combined procedures can be used as salvage procedures in case of unsatisfactory outcomes. Thus, many surgeons posit that surgical treatment should be considered in moyamoya patients, even if asymptomatic, particularly in the paediatric age group.

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Section: Indication Of Surgical Techniques For Cerebral Revascularization In Moyamoya Diseasementioning

confidence: 99%

“…Among them is placing 10-0 Proline sutures to the arachnoid membrane in both sides of the brain sulcus. When some retraction is applied, the recipient artery is brought to the surface, and the STA to MCA bypass is made more easily [192].…”

Section: Indication Of Surgical Techniques For Cerebral Revascularization In Moyamoya Diseasementioning

confidence: 99%