Preoperative collateralization depending on posterior components in the prediction of transient neurological events in moyamoya disease
Changes in local cerebral blood flow (CBF) are a major cause of transient neurological events (TNEs) after revascularization for moyamoya disease (MMD); however, the influence of preoperative collateral pathway development on TNEs has not yet been investigated. This study included 28 hemispheres fro...
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| Veröffentlicht in: | Neurosurgical review 2024-10, Vol.47 (1), p.781, Article 781 |
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| creator | Hori, Satoshi Miyata, Yuya Takagi, Ryosuke Shimohigoshi, Wataru Nakamura, Taishi Akimoto, Taisuke Suenega, Jun Nakai, Yasunobu Kawasaki, Takashi Sakata, Katsumi Yamamoto, Tetsuya |
| description | Changes in local cerebral blood flow (CBF) are a major cause of transient neurological events (TNEs) after revascularization for moyamoya disease (MMD); however, the influence of preoperative collateral pathway development on TNEs has not yet been investigated. This study included 28 hemispheres from 28 consecutive patients with MMD who underwent surgical revascularization, including a superficial temporal artery (STA) to middle cerebral artery (MCA) bypass, between January 2014 and March 2022. The collateralization pathways included the anterior communicating artery (AcomA) collaterals, posterior communicating artery (PcomA) collaterals, transdural collaterals, posterior pericallosal anastomosis, lenticulostriate anastomosis, thalamic anastomosis, and choroidal anastomosis. These collateral pathways were analyzed to identify predictive factors significantly associated with TNEs. TNEs were observed in 11 (39.3%) hemispheres. The development of posterior pericallosal anastomosis and choroidal anastomosis was a significant independent predictor of the occurrence of TNEs after bypass surgery for MMD (
P
= 0.01, OR 26.9, 95% CI 1.50–480.0;
P
= 0.002, OR 47.6, 95% CI 2.65–856.6). The development of choroidal and posterior pericallosal anastomosis could be reliable preoperative predictors of TNEs after bypass surgery for MMD. Our results provide useful information for future studies aimed at clarifying the mechanisms underlying TNEs. |
| doi_str_mv | 10.1007/s10143-024-03019-2 |
| format | Article |
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P
= 0.01, OR 26.9, 95% CI 1.50–480.0;
P
= 0.002, OR 47.6, 95% CI 2.65–856.6). The development of choroidal and posterior pericallosal anastomosis could be reliable preoperative predictors of TNEs after bypass surgery for MMD. Our results provide useful information for future studies aimed at clarifying the mechanisms underlying TNEs.</description><identifier>ISSN: 1437-2320</identifier><identifier>EISSN: 1437-2320</identifier><identifier>DOI: 10.1007/s10143-024-03019-2</identifier><identifier>PMID: 39392479</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Cerebral Revascularization - methods ; Cerebrovascular Circulation - physiology ; Child ; Collateral Circulation - physiology ; Female ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Middle Cerebral Artery - surgery ; Moyamoya Disease - surgery ; Neurosurgery ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Young Adult</subject><ispartof>Neurosurgical review, 2024-10, Vol.47 (1), p.781, Article 781</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c228t-c1a55461e3cb4f1d4d4616aeb94e215f42d5d211b918c272c679b31360049a7b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10143-024-03019-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10143-024-03019-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39392479$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hori, Satoshi</creatorcontrib><creatorcontrib>Miyata, Yuya</creatorcontrib><creatorcontrib>Takagi, Ryosuke</creatorcontrib><creatorcontrib>Shimohigoshi, Wataru</creatorcontrib><creatorcontrib>Nakamura, Taishi</creatorcontrib><creatorcontrib>Akimoto, Taisuke</creatorcontrib><creatorcontrib>Suenega, Jun</creatorcontrib><creatorcontrib>Nakai, Yasunobu</creatorcontrib><creatorcontrib>Kawasaki, Takashi</creatorcontrib><creatorcontrib>Sakata, Katsumi</creatorcontrib><creatorcontrib>Yamamoto, Tetsuya</creatorcontrib><title>Preoperative collateralization depending on posterior components in the prediction of transient neurological events in moyamoya disease</title><title>Neurosurgical review</title><addtitle>Neurosurg Rev</addtitle><addtitle>Neurosurg Rev</addtitle><description>Changes in local cerebral blood flow (CBF) are a major cause of transient neurological events (TNEs) after revascularization for moyamoya disease (MMD); however, the influence of preoperative collateral pathway development on TNEs has not yet been investigated. This study included 28 hemispheres from 28 consecutive patients with MMD who underwent surgical revascularization, including a superficial temporal artery (STA) to middle cerebral artery (MCA) bypass, between January 2014 and March 2022. The collateralization pathways included the anterior communicating artery (AcomA) collaterals, posterior communicating artery (PcomA) collaterals, transdural collaterals, posterior pericallosal anastomosis, lenticulostriate anastomosis, thalamic anastomosis, and choroidal anastomosis. These collateral pathways were analyzed to identify predictive factors significantly associated with TNEs. TNEs were observed in 11 (39.3%) hemispheres. The development of posterior pericallosal anastomosis and choroidal anastomosis was a significant independent predictor of the occurrence of TNEs after bypass surgery for MMD (
P
= 0.01, OR 26.9, 95% CI 1.50–480.0;
P
= 0.002, OR 47.6, 95% CI 2.65–856.6). The development of choroidal and posterior pericallosal anastomosis could be reliable preoperative predictors of TNEs after bypass surgery for MMD. Our results provide useful information for future studies aimed at clarifying the mechanisms underlying TNEs.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cerebral Revascularization - methods</subject><subject>Cerebrovascular Circulation - physiology</subject><subject>Child</subject><subject>Collateral Circulation - physiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Middle Cerebral Artery - surgery</subject><subject>Moyamoya Disease - surgery</subject><subject>Neurosurgery</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Young Adult</subject><issn>1437-2320</issn><issn>1437-2320</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UctO3DAUtSqqzkD7A10gL9mE-tpOgpdoBC0SUrto15Zj30yNEjvYyUjDD_S3MQxUrFhY9rnnIV0fQr4COwfG2m8ZGEhRMS4rJhioin8g6zJpKy44O3rzXpHjnO8Yg1Yx-ERWQgnFZavW5N-vhHHCZGa_Q2rjMJi5oME_lEkM1OGEwfmwpQVMMRfSx1SE4xQDhjlTH-j8F-mU0Hn77Ik9nZMJ2ReeBlxSHOLWWzNQ3L1axrg3T4c6n9Fk_Ew-9mbI-OXlPiF_rq9-b35Utz-_32wubyvL-cVcWTB1LRtAYTvZg5OugMZgpyRyqHvJXe04QKfgwvKW26ZVnQDRMCaVaTtxQs4OuVOK9wvmWY8-WyxrB4xL1gKgrploGlGk_CC1KeacsNdT8qNJew1MPxWgDwXoUoB-LkDzYjp9yV-6Ed1_y-uPF4E4CHKhwhaTvotLCmXn92IfARAElDw</recordid><startdate>20241011</startdate><enddate>20241011</enddate><creator>Hori, Satoshi</creator><creator>Miyata, Yuya</creator><creator>Takagi, Ryosuke</creator><creator>Shimohigoshi, Wataru</creator><creator>Nakamura, Taishi</creator><creator>Akimoto, Taisuke</creator><creator>Suenega, Jun</creator><creator>Nakai, Yasunobu</creator><creator>Kawasaki, Takashi</creator><creator>Sakata, Katsumi</creator><creator>Yamamoto, Tetsuya</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20241011</creationdate><title>Preoperative collateralization depending on posterior components in the prediction of transient neurological events in moyamoya disease</title><author>Hori, Satoshi ; Miyata, Yuya ; Takagi, Ryosuke ; Shimohigoshi, Wataru ; Nakamura, Taishi ; Akimoto, Taisuke ; Suenega, Jun ; Nakai, Yasunobu ; Kawasaki, Takashi ; Sakata, Katsumi ; Yamamoto, Tetsuya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c228t-c1a55461e3cb4f1d4d4616aeb94e215f42d5d211b918c272c679b31360049a7b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Cerebral Revascularization - methods</topic><topic>Cerebrovascular Circulation - physiology</topic><topic>Child</topic><topic>Collateral Circulation - physiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Middle Cerebral Artery - surgery</topic><topic>Moyamoya Disease - surgery</topic><topic>Neurosurgery</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hori, Satoshi</creatorcontrib><creatorcontrib>Miyata, Yuya</creatorcontrib><creatorcontrib>Takagi, Ryosuke</creatorcontrib><creatorcontrib>Shimohigoshi, Wataru</creatorcontrib><creatorcontrib>Nakamura, Taishi</creatorcontrib><creatorcontrib>Akimoto, Taisuke</creatorcontrib><creatorcontrib>Suenega, Jun</creatorcontrib><creatorcontrib>Nakai, Yasunobu</creatorcontrib><creatorcontrib>Kawasaki, Takashi</creatorcontrib><creatorcontrib>Sakata, Katsumi</creatorcontrib><creatorcontrib>Yamamoto, Tetsuya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgical review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hori, Satoshi</au><au>Miyata, Yuya</au><au>Takagi, Ryosuke</au><au>Shimohigoshi, Wataru</au><au>Nakamura, Taishi</au><au>Akimoto, Taisuke</au><au>Suenega, Jun</au><au>Nakai, Yasunobu</au><au>Kawasaki, Takashi</au><au>Sakata, Katsumi</au><au>Yamamoto, Tetsuya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative collateralization depending on posterior components in the prediction of transient neurological events in moyamoya disease</atitle><jtitle>Neurosurgical review</jtitle><stitle>Neurosurg Rev</stitle><addtitle>Neurosurg Rev</addtitle><date>2024-10-11</date><risdate>2024</risdate><volume>47</volume><issue>1</issue><spage>781</spage><pages>781-</pages><artnum>781</artnum><issn>1437-2320</issn><eissn>1437-2320</eissn><abstract>Changes in local cerebral blood flow (CBF) are a major cause of transient neurological events (TNEs) after revascularization for moyamoya disease (MMD); however, the influence of preoperative collateral pathway development on TNEs has not yet been investigated. This study included 28 hemispheres from 28 consecutive patients with MMD who underwent surgical revascularization, including a superficial temporal artery (STA) to middle cerebral artery (MCA) bypass, between January 2014 and March 2022. The collateralization pathways included the anterior communicating artery (AcomA) collaterals, posterior communicating artery (PcomA) collaterals, transdural collaterals, posterior pericallosal anastomosis, lenticulostriate anastomosis, thalamic anastomosis, and choroidal anastomosis. These collateral pathways were analyzed to identify predictive factors significantly associated with TNEs. TNEs were observed in 11 (39.3%) hemispheres. The development of posterior pericallosal anastomosis and choroidal anastomosis was a significant independent predictor of the occurrence of TNEs after bypass surgery for MMD (
P
= 0.01, OR 26.9, 95% CI 1.50–480.0;
P
= 0.002, OR 47.6, 95% CI 2.65–856.6). The development of choroidal and posterior pericallosal anastomosis could be reliable preoperative predictors of TNEs after bypass surgery for MMD. Our results provide useful information for future studies aimed at clarifying the mechanisms underlying TNEs.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39392479</pmid><doi>10.1007/s10143-024-03019-2</doi></addata></record> |
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| subjects | Adolescent Adult Cerebral Revascularization - methods Cerebrovascular Circulation - physiology Child Collateral Circulation - physiology Female Humans Male Medicine Medicine & Public Health Middle Aged Middle Cerebral Artery - surgery Moyamoya Disease - surgery Neurosurgery Postoperative Complications - epidemiology Postoperative Complications - etiology Young Adult |
| title | Preoperative collateralization depending on posterior components in the prediction of transient neurological events in moyamoya disease |
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