Clinical study of extracranial-intracranial revascularization for Moyamoya disease
Han Zongli
Du Yanli
Qi Hui
Yin Wei
Abstract：Objective To explore the clinical outcome of extracranial-intracranial revascularization for Moyamoya disease.Methods Clinical data of 72 patients with Moyamoya disease were analyzed retrospectively.There were 99 times of surgery in total,including 66 times of direct bypass,8 times of direct bypass combined with temporal muscle sticking,11 times of simple temporal muscle sticking and 14 times of simple temporal artery sticking.Results The infusion region hemorrhage occurred in 4 patients,transient cerebral ischemia or focal cerebral infarction in the infusion region in 12,hyperperfusion in 2 and skin necrosis in 1.Anastomotic patency was confirmed in all patients by CT angiography within 1 week.The SPECT or PWI showed cerebral perfusion results were improved to different degrees 6 months after surgery.All the patients were followed up for 1 to 95 months,and no new cerebral infarction was found in the bypass side during the follow-up period.Two patients with hemorrhagic Moyamoya died of rebleeding 1 year after surgery.Conclusions Extracranial-intracranial revascularization is an effective method for Moyamoya disease.The accompanying diseases as hyperthyroidism,aneurysms etc.should be treated actively.
Keywords：moyamoya diseasecerebral ischemiatemporalitycerebral infarctioncerebral revascularization
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 252-255 )