Surgical Treatment of Ischemic Moyamoya Disease in 22 Adult Patients

Qiu Jin Tao; Long Jiang; Xu Xian Xin

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Qiu Jin Tao , Long Jiang , Xu Xian Xin . Surgical Treatment of Ischemic Moyamoya Disease in 22 Adult Patients[J]. Journal of Kunming Medical University, 2017, 38(07): 69-72.

Citation:

Qiu Jin Tao , Long Jiang , Xu Xian Xin . Surgical Treatment of Ischemic Moyamoya Disease in 22 Adult Patients[J]. Journal of Kunming Medical University, 2017, 38(07): 69-72.

Qiu Jin Tao , Long Jiang , Xu Xian Xin . Surgical Treatment of Ischemic Moyamoya Disease in 22 Adult Patients[J]. Journal of Kunming Medical University, 2017, 38(07): 69-72.

Citation:

Qiu Jin Tao , Long Jiang , Xu Xian Xin . Surgical Treatment of Ischemic Moyamoya Disease in 22 Adult Patients[J]. Journal of Kunming Medical University, 2017, 38(07): 69-72.

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Surgical Treatment of Ischemic Moyamoya Disease in 22 Adult Patients

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基金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目 (2015FB033);

Received Date: 2017-03-22

Abstract

Abstract

Objective To observe and analyze the surgical treatment of ischemic moyamoya disease (IMMD) in adult patients.Method The clinical data of 22 patients with surgical treatment of ischemic moyamoya disease (IMMD) from January, 2014 to December, 2015 were analyzed retrospectively, 15 cases with Encephalo-STA-STF-synangiosis (E-STA-STF-S) surgery and 7 cases with superficial temporal artery-middle cerebral artery bypass (STA-MCA) surgery. Results Follow-up was conducted 3-9 months after the operation.In 15 cases with E-STA-STF-S surgery, digital subtraction angiography (DSA) showed good compensatory blood supply of external carotid artery to brain and relieved symptoms in 12 patients and no obvious compensation was found in another 3 cases. In 7 cases with STA-MCA surgery, no obvious compensation was found 1 case. After the review of DSA, the compensatory blood supply rate was 81.82% and symptoms were improved in all the cases.Conclusions Surgical treatment can effectively improve the clinical symptoms in adult patients with IMMD. To develop individualized surgical plan is an important clinical measure for IMMD treatment in adult patients.
- Moyamoya disease,
- Surgical treatment,
- Encephalo-STA-STF-synangiosis,
- Superficial temporal artery-middle cerebral artery bypass

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References(14)

References

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