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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Veröffentlicht in:Neurologia Medico-Chirurgica 2023/12/15, Vol.63(12), pp.542-547
Hauptverfasser: SHIMIZU, Takeshi, TOYOTA, Shingo, TAKAHARA, Motohide, TOUHARA, Kazuhiro, HAGIOKA, Tatsuya, HOSHIKUMA, Yuhei, ACHIHA, Takamune, MURAKAMI, Tomoaki, KOBAYASHI, Maki, KISHIMA, Haruhiko
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container_issue 12
container_start_page 542
container_title Neurologia Medico-Chirurgica
container_volume 63
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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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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