A luminary in the field of cerebrovascular surgery brings his pace-setting work on the surgical management of moyamoya disease to the neurosurgical community
When the rare stroke strikes in children and youth, 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 re-establish and maintain adequate blood supply to the affected brain areas. The procedures described here include various revascularization techniques and recommended bypasses.
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.
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