Direct Versus Indirect Bypass for Moyamoya Disease

Moyamoya disease is a progressive occlusive vasculopathy that involves the supraclinoid internal carotid arteries and Circle of Willis, and results in the formation of collateral vessels at the skull base. The progressive nature of this disease leads to cerebral ischemia and sometimes intracerebral...

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Bibliographic Details
Published inNeurosurgery clinics of North America Vol. 28; no. 3; p. 361
Main Authors Liu, Jonathan J, Steinberg, Gary K
Format Journal Article
LanguageEnglish
Published United States 01.07.2017
Subjects
Brain Ischemia - etiology
Carotid Artery, Internal
Cerebral Hemorrhage - etiology
Cerebral Revascularization - methods
Circle of Willis
Humans
Moyamoya Disease - complications
Moyamoya Disease - surgery
EDAS
Indirect bypass
Direct bypass
Omental transposition
Moyamoya
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Summary:Moyamoya disease is a progressive occlusive vasculopathy that involves the supraclinoid internal carotid arteries and Circle of Willis, and results in the formation of collateral vessels at the skull base. The progressive nature of this disease leads to cerebral ischemia and sometimes intracerebral hemorrhage. The treatment of moyamoya disease is mainly surgical revascularization, using revascularization techniques that include direct, indirect, and combined strategies. Here we discuss the available options for revascularization as well as our opinions regarding the surgical management of patients with moyamoya disease.
ISSN:1558-1349
DOI:10.1016/j.nec.2017.02.004