ArticleJournal of neurology2018
Efficacy of STA-MCA bypass surgery in moyamoya angiopathy: long-term follow-up of the Caucasian Krupp Hospital cohort with 81 procedures.
Article in Journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 29 citations in OpenAlex.
- Serum Uric Acid and Triglycerides in Chinese Patients with Newly Diagnosed Moyamoya Disease: A Cross-Sectional Study.BioMed research international · 2019Trial
- Long-term Patency of Retrograde Bypass Using a Distal Stump of the Parietal Superficial Temporal Artery for Moyamoya Disease.Neurologia medico-chirurgica · 2023Article
- Is STA really a low-flow graft? A quantitative ultrasonographic study of the flow of STA for cerebral revascularization in MMD patients.CNS neuroscience & therapeutics · 2023Article
- European Stroke Organisation (ESO) Guidelines on Moyamoya angiopathy Endorsed by Vascular European Reference Network (VASCERN).European stroke journal · 2023Article
- The angiographic presentation of European Moyamoya angiopathy.Journal of neurology · 2022Observational
- Caveolin-1 Promoted Collateral Vessel Formation in Patients With Moyamoya Disease.Frontiers in neurology · 2022Article
- Color Doppler ultrasonography for predicting the patency of anastomosis after superficial temporal to middle cerebral artery bypass surgery.Acta neurochirurgica · 2021Article
- Patients with Moyamoya Vasculopathy Evaluated at a Single-Center in The Netherlands; Clinical Presentation and Outcome.Journal of clinical medicine · 2021Article
- Delayed Anastomotic Occlusion after Direct Revascularization in Adult Hemorrhagic Moyamoya Disease.Brain sciences · 2021Article
- Long-Term Cognitive Changes after Revascularization Surgery in Adult Patients with Ischemic Moyamoya Disease.Cerebrovascular diseases extra · 2021Article
- Implementation and Rationale for a Unified Clinical and Imaging Protocol for Evaluation and Treatment of Moyamoya Angiopathy: A Single Institutional Experience.Frontiers in neurology · 2021Review
- Moyamoya angiopathy: radiological follow-up findings in Finnish patients.Journal of neurology · 2020Article
- Observational
- Thalassemia and Moyamoya syndrome: unfurling an intriguing association.Journal of neurology · 2019Review
- Histopathology of Moyamoya angiopathy in a European patient.Journal of neurology · 2019Article
- Clinical presentation of Moyamoya angiopathy in Europeans: experiences from Germany with 200 patients.Journal of neurology · 2019Article
- Clinical presentation of Moyamoya angiopathy in Europeans: experiences from Germany with 200 patients.Journal of neurology · 2019Article
- Misdiagnoses and delay of diagnoses in Moyamoya angiopathy-a large Caucasian case series.Journal of neurology · 2019Article
- Moyamoya angiopathy: long-term follow-up study in a Finnish population.Journal of neurology · 2019Article
- Angiographic Outcomes of Direct and Combined Bypass Surgery in Moyamoya Disease.Frontiers in neurology · 2019Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the consensus on the efficacy of revascularizing surgery in moyamoya angiopathy (MA) in Asia, the indication in Caucasian moyamoya patients is controversially discussed.
objectiveThe efficacy of revascularizing surgery in adult European patients with MA should be clarified.
methodsThis study retrospectively analyzed the rate of further strokes and hemorrhages as well as MRI and Duplex ultrasound features during long-term follow up after STA-MCA bypass.
resultsEighty-one STA-MCA bypass procedures in 54 patients with MA operated in one single German institution were analyzed. All 54 patients (100%) were Caucasians. After two diffusion restricted spots in MRI perioperatively (2.5%) and short-lasting symptoms directly after surgery, no patient experienced further new symptoms related to stroke or hemorrhages nor no new gliotic scars or microbleeds on MRI for 38.2 months. Duplex ultrasound 3 months after surgery documented bypass patency in 100% and sonographic sign for good relevance of the bypass in 96.2%. In addition, the diameter of the donor vessel had increased in 89.9% as an indicator for the relevance of the bypass. Semi-quantitative analysis of perfusion changes in the operated hemispheres demonstrated an increase in perfusion in the MCA territory in 56 of 74 (75.7%) hemispheres 36.7 months after surgery. In MRA images, a reduction of typical moyamoya collaterals was found in 65 of 79 hemispheres (82.3%) after a mean of 37.2 months.
conclusionDirect STA-MCA bypass is an effective therapy in Caucasian patients with hemodynamically compromised MA.
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