Surgical Techniques in Moyamoya Vasculopathy

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:



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
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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
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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
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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