Main description:

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.

Contents:

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