Long-term Patency of Retrograde Bypass Using a Distal Stump of the Parietal Superficial Temporal Artery for Moyamoya Disease
There have been a number of anastomosis methods of bypass techniques reported for moyamoya disease. However, there are yet no randomized controlled trials conducted on the anastomosis method. Retrograde blood flow of the superficial temporal artery (STA) may be used as one of the donor options. Here...
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creator | SHIMIZU, Takeshi TOYOTA, Shingo TAKAHARA, Motohide TOUHARA, Kazuhiro HAGIOKA, Tatsuya HOSHIKUMA, Yuhei ACHIHA, Takamune MURAKAMI, Tomoaki KOBAYASHI, Maki KISHIMA, Haruhiko |
description | There have been a number of anastomosis methods of bypass techniques reported for moyamoya disease. However, there are yet no randomized controlled trials conducted on the anastomosis method. Retrograde blood flow of the superficial temporal artery (STA) may be used as one of the donor options. Here, we examined the tolerability of retrograde bypass using a distal stump of the parietal STA (dsPSTA). Anastomosis between the dsPSTA and middle cerebral artery (MCA) was performed for consecutive patients with moyamoya disease whose parietal STA was visualized to be longer than 10 cm using contrast-enhanced computed tomography preoperatively. Retrospectively, we have examined its patency and clinical outcome. Retrograde dsPSTA-MCA bypass was performed in 22 hemispheres of 17 patients. The patency of retrograde dsPSTA-MCA bypass in all 22 anastomoses could be confirmed during follow-up periods (mean: 5.5, range: 2-15 years). No recurrence of ischemic events was observed. The dsPSTA-MCA bypass using retrograde blood flow has been determined as one of the many promising anastomosis methods, and long-term patency was achieved in moyamoya disease. |
doi_str_mv | 10.2176/jns-nmc.2023-0070 |
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However, there are yet no randomized controlled trials conducted on the anastomosis method. Retrograde blood flow of the superficial temporal artery (STA) may be used as one of the donor options. Here, we examined the tolerability of retrograde bypass using a distal stump of the parietal STA (dsPSTA). Anastomosis between the dsPSTA and middle cerebral artery (MCA) was performed for consecutive patients with moyamoya disease whose parietal STA was visualized to be longer than 10 cm using contrast-enhanced computed tomography preoperatively. Retrospectively, we have examined its patency and clinical outcome. Retrograde dsPSTA-MCA bypass was performed in 22 hemispheres of 17 patients. The patency of retrograde dsPSTA-MCA bypass in all 22 anastomoses could be confirmed during follow-up periods (mean: 5.5, range: 2-15 years). No recurrence of ischemic events was observed. The dsPSTA-MCA bypass using retrograde blood flow has been determined as one of the many promising anastomosis methods, and long-term patency was achieved in moyamoya disease.</description><identifier>ISSN: 0470-8105</identifier><identifier>EISSN: 1349-8029</identifier><identifier>DOI: 10.2176/jns-nmc.2023-0070</identifier><identifier>PMID: 37743507</identifier><language>eng</language><publisher>Japan: The Japan Neurosurgical Society</publisher><subject>Anastomosis ; Blood flow ; Clinical trials ; Computed tomography ; Ischemia ; Moyamoya disease ; Original ; patency ; retrograde ; STA-MCA bypass ; Veins & arteries</subject><ispartof>Neurologia medico-chirurgica, 2023/12/15, Vol.63(12), pp.542-547</ispartof><rights>2023 The Japan Neurosurgical Society</rights><rights>2023. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c751t-ae6a53300fac78db2df19121169f851b4476e8e514d8d241528d175d72b563933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10788485/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10788485/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1877,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37743507$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SHIMIZU, Takeshi</creatorcontrib><creatorcontrib>TOYOTA, Shingo</creatorcontrib><creatorcontrib>TAKAHARA, Motohide</creatorcontrib><creatorcontrib>TOUHARA, Kazuhiro</creatorcontrib><creatorcontrib>HAGIOKA, Tatsuya</creatorcontrib><creatorcontrib>HOSHIKUMA, Yuhei</creatorcontrib><creatorcontrib>ACHIHA, Takamune</creatorcontrib><creatorcontrib>MURAKAMI, Tomoaki</creatorcontrib><creatorcontrib>KOBAYASHI, Maki</creatorcontrib><creatorcontrib>KISHIMA, Haruhiko</creatorcontrib><creatorcontrib>Osaka University Graduate School of Medicine</creatorcontrib><creatorcontrib>Department of Neurosurgery</creatorcontrib><creatorcontrib>Kansai Rosai Hospital</creatorcontrib><title>Long-term Patency of Retrograde Bypass Using a Distal Stump of the Parietal Superficial Temporal Artery for Moyamoya Disease</title><title>Neurologia Medico-Chirurgica</title><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><description>There have been a number of anastomosis methods of bypass techniques reported for moyamoya disease. However, there are yet no randomized controlled trials conducted on the anastomosis method. Retrograde blood flow of the superficial temporal artery (STA) may be used as one of the donor options. Here, we examined the tolerability of retrograde bypass using a distal stump of the parietal STA (dsPSTA). Anastomosis between the dsPSTA and middle cerebral artery (MCA) was performed for consecutive patients with moyamoya disease whose parietal STA was visualized to be longer than 10 cm using contrast-enhanced computed tomography preoperatively. Retrospectively, we have examined its patency and clinical outcome. Retrograde dsPSTA-MCA bypass was performed in 22 hemispheres of 17 patients. The patency of retrograde dsPSTA-MCA bypass in all 22 anastomoses could be confirmed during follow-up periods (mean: 5.5, range: 2-15 years). No recurrence of ischemic events was observed. The dsPSTA-MCA bypass using retrograde blood flow has been determined as one of the many promising anastomosis methods, and long-term patency was achieved in moyamoya disease.</description><subject>Anastomosis</subject><subject>Blood flow</subject><subject>Clinical trials</subject><subject>Computed tomography</subject><subject>Ischemia</subject><subject>Moyamoya disease</subject><subject>Original</subject><subject>patency</subject><subject>retrograde</subject><subject>STA-MCA bypass</subject><subject>Veins & arteries</subject><issn>0470-8105</issn><issn>1349-8029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkt9v0zAQxyMEYtXYH8ALisRzhn_GzhMaG4xJRSDYni0nuaSuGrvYyaRK_PFc2rWwB9sn393nzudvlr2l5JJRVX5Y-1T4oblkhPGCEEVeZAvKRVVowqqX2YIIRQpNiTzLLlJyNSFMaMG1ep2dcaUEl0Qtsj_L4PtihDjkP-wIvtnloct_whhDH20L-afd1qaUPyTn-9zmNy6NdpP_GqdhO0eOK8DE6GB_O20hdq5xaN_DsA0RjauI9F3ehZh_Czs74JopYBO8yV51dpPg4uk8zx6-fL6__losv9_eXV8ti0ZJOhYWSis5J6SzjdJtzdqOVpRRWladlrQWQpWgQVLR6pYJKpluqZKtYrUsecX5eXZ34LbBrs02usHGnQnWmf1FiL2xcXTNBkzL6ppLS2rGuKBaaVtWVJQ4O1JLXtXI-nhgbad6gLYBP-Irn0Gfe7xbmT48GkqU1kJLJLx_IsTwe4I0mnWYoscBGIa1hMZP0xhFD1FNDClF6E4lKDGzAAwKwKAAzCwAMwsAc97939sp4_jdGHB7CECva-wm-I3z8K9-01IPU4Qjs-SU4YFLiv2GHMJINZNuDqQ16qGHU6njHOfGSm4wHfdThyd3s7LRgOd_AQad20o</recordid><startdate>20231215</startdate><enddate>20231215</enddate><creator>SHIMIZU, Takeshi</creator><creator>TOYOTA, Shingo</creator><creator>TAKAHARA, Motohide</creator><creator>TOUHARA, Kazuhiro</creator><creator>HAGIOKA, Tatsuya</creator><creator>HOSHIKUMA, Yuhei</creator><creator>ACHIHA, Takamune</creator><creator>MURAKAMI, Tomoaki</creator><creator>KOBAYASHI, Maki</creator><creator>KISHIMA, Haruhiko</creator><general>The Japan Neurosurgical Society</general><general>THE JAPAN NEUROSURGICAL SOCIETY</general><general>Japan Science and Technology Agency</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20231215</creationdate><title>Long-term Patency of Retrograde Bypass Using a Distal Stump of the Parietal Superficial Temporal Artery for Moyamoya Disease</title><author>SHIMIZU, Takeshi ; TOYOTA, Shingo ; TAKAHARA, Motohide ; TOUHARA, Kazuhiro ; HAGIOKA, Tatsuya ; HOSHIKUMA, Yuhei ; ACHIHA, Takamune ; MURAKAMI, Tomoaki ; KOBAYASHI, Maki ; KISHIMA, Haruhiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c751t-ae6a53300fac78db2df19121169f851b4476e8e514d8d241528d175d72b563933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anastomosis</topic><topic>Blood flow</topic><topic>Clinical trials</topic><topic>Computed tomography</topic><topic>Ischemia</topic><topic>Moyamoya disease</topic><topic>Original</topic><topic>patency</topic><topic>retrograde</topic><topic>STA-MCA bypass</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SHIMIZU, Takeshi</creatorcontrib><creatorcontrib>TOYOTA, Shingo</creatorcontrib><creatorcontrib>TAKAHARA, Motohide</creatorcontrib><creatorcontrib>TOUHARA, Kazuhiro</creatorcontrib><creatorcontrib>HAGIOKA, Tatsuya</creatorcontrib><creatorcontrib>HOSHIKUMA, Yuhei</creatorcontrib><creatorcontrib>ACHIHA, Takamune</creatorcontrib><creatorcontrib>MURAKAMI, Tomoaki</creatorcontrib><creatorcontrib>KOBAYASHI, Maki</creatorcontrib><creatorcontrib>KISHIMA, Haruhiko</creatorcontrib><creatorcontrib>Osaka University Graduate School of Medicine</creatorcontrib><creatorcontrib>Department of Neurosurgery</creatorcontrib><creatorcontrib>Kansai Rosai Hospital</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Neurologia Medico-Chirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SHIMIZU, Takeshi</au><au>TOYOTA, Shingo</au><au>TAKAHARA, Motohide</au><au>TOUHARA, Kazuhiro</au><au>HAGIOKA, Tatsuya</au><au>HOSHIKUMA, Yuhei</au><au>ACHIHA, Takamune</au><au>MURAKAMI, Tomoaki</au><au>KOBAYASHI, Maki</au><au>KISHIMA, Haruhiko</au><aucorp>Osaka University Graduate School of Medicine</aucorp><aucorp>Department of Neurosurgery</aucorp><aucorp>Kansai Rosai Hospital</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term Patency of Retrograde Bypass Using a Distal Stump of the Parietal Superficial Temporal Artery for Moyamoya Disease</atitle><jtitle>Neurologia Medico-Chirurgica</jtitle><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><date>2023-12-15</date><risdate>2023</risdate><volume>63</volume><issue>12</issue><spage>542</spage><epage>547</epage><pages>542-547</pages><artnum>2023-0070</artnum><issn>0470-8105</issn><eissn>1349-8029</eissn><abstract>There have been a number of anastomosis methods of bypass techniques reported for moyamoya disease. However, there are yet no randomized controlled trials conducted on the anastomosis method. Retrograde blood flow of the superficial temporal artery (STA) may be used as one of the donor options. Here, we examined the tolerability of retrograde bypass using a distal stump of the parietal STA (dsPSTA). Anastomosis between the dsPSTA and middle cerebral artery (MCA) was performed for consecutive patients with moyamoya disease whose parietal STA was visualized to be longer than 10 cm using contrast-enhanced computed tomography preoperatively. Retrospectively, we have examined its patency and clinical outcome. Retrograde dsPSTA-MCA bypass was performed in 22 hemispheres of 17 patients. The patency of retrograde dsPSTA-MCA bypass in all 22 anastomoses could be confirmed during follow-up periods (mean: 5.5, range: 2-15 years). No recurrence of ischemic events was observed. The dsPSTA-MCA bypass using retrograde blood flow has been determined as one of the many promising anastomosis methods, and long-term patency was achieved in moyamoya disease.</abstract><cop>Japan</cop><pub>The Japan Neurosurgical Society</pub><pmid>37743507</pmid><doi>10.2176/jns-nmc.2023-0070</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Anastomosis Blood flow Clinical trials Computed tomography Ischemia Moyamoya disease Original patency retrograde STA-MCA bypass Veins & arteries |
title | Long-term Patency of Retrograde Bypass Using a Distal Stump of the Parietal Superficial Temporal Artery for Moyamoya Disease |
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