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Description A luminary in the field of cerebrovascular surgery brings his pace-setting work on the surgical management of moyamoya disease to the neurosurgical community When the rare stroke strikes in children and youth, 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 re-establish 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

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 Multiple Burr Holes 5 Encephalo-myo-synangiosis 6 Encephalo-duro-arterio-synangiosis: Pediatric ´õº¸±â
7 Encephalo-duro-arterio-synangiosis: In Adults 8 Bifrontal 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 ´õº¸±â
12 STA–ACA/MCA Double Bypasses with Long Grafts 13 Double Anastomosis Using Only One Branch of the Superficial Temporal Artery: Single-Vess
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 ´õº¸±â
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 Mo
Part 5 Rescue Strategies for Repeat Surgery 20 Omental–Cranial Transposition 21 ECA–MCA Bypass with Radial Artery Graft 22 OA–MCA or OA–PCA Bypass 23 PAA–MCA Bypass
Index
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