Application of intraoperative infrared thermography in bypass surgery for adult moyamoya syndrome: A preliminary study

Lin, Jinghui; Wu, Yiwen; Deng, Xinpeng; Zhou, Shengjun; Liu, Yuchun; Zeng, Yi-Yong; Li, Xianru; Gao, Xiang; Xu, Bin; Zhou, Changcong

doi:10.3389/fneur.2023.1174072

Cited by 4 publications

(1 citation statement)

References 16 publications

(18 reference statements)

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“…Thrombus expansion could provoke occlusion of the recipient artery, triggering related ischemic complications such as stroke or neurological functional impairment. The success of bypass surgery depends on the degree of anastomotic patency [7] . We implemented three distinctive approaches for patients with MMD who developed acute thrombosis during STA-MCA procedures.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Rescue Strategies for Acute Thrombosis in Moyamoya Patients during STA-MCA Bypass Surgery and the Literature Review

Xu,

Ni,

Zhou

et al. 2024

Preprint

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Background and objectives: Moyamoya disease is most improtantly treated with superficial temporal artery to middle cerebral artery (STA-MCA) bypass surgery, and the intraoperative patency of the reconstructive vessels is critical to the efficacy of the procedure. This study aimed to evaluate the efficacy of intra-arterially infused tirofiban for the treatment of acute thrombosis during STA-MCA bypass surgery and countermeasures for acute thrombosis. Methods: We retrospectively reviewed the clinical and imaging data, surgical procedure, and follow-up outcomes of eight patients who developed acute thrombosis during the surgical procedure. We implemented the different thrombolytic methods to evaluate the optimal thrombosis management during the bypass surgery. After three months, we assessed neurological functions using the modified Rankin Scale (mRS) and conducted a literature review using PubMed. Results: Eight patients (four male patients and four female patients) developed acute thrombosis during the bypass surgery. Of the eight patients, two underwent re-anastomosis after thrombus removal, three received local injections of tirofiban into the anastomosis or the branches of the superficial temporal artery, and three underwent superselective intra-arterial tirofiban infusion using a microcatheter. Thrombosis were resolved, and arteries were recanalized in all patients. The mRS score was 0 in all patients. No major ischemic or hemorrhagic complications occurred. Conclusion: Our treatment methods were efficacious in the management of acute thrombosis. Intra-arterial tirofiban administration seems to be a simple and effective treatment option for acute thrombosis during STA-MCA bypass surgery.

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Section: Introductionmentioning

confidence: 99%

Analysis of Rescue Strategies for Acute Thrombosis in Moyamoya Patients during STA-MCA Bypass Surgery and the Literature Review

Xu,

Ni,

Zhou

et al. 2024

Preprint

Self Cite

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Analysis of rescue strategies for acute thrombosis during STA-MCA bypass surgery and the literature review

Xu,

Ni,

Zhou

et al. 2024

Acta Neurochir

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Background and objectives STA-MCA bypass surgery is mainly used for Moyamoya disease, giant intracranial aneurysms, and resection of intracranial tumors requiring sacrifice of blood vessels. The intraoperative patency of the reconstructive vessels is critical to the efficacy of the procedure. This study aimed to evaluate the efficacy of intra-arterially infused tirofiban for the treatment of acute thrombosis during STA-MCA bypass surgery and countermeasures for acute thrombosis. Methods This study involved 209 patients (272 hemispheres) who underwent STA-MCA surgery between November 2020 and December 2023. Intraoperative acute thrombosis occurred in eight patients (3.83%,8 hemispheres). We retrospectively reviewed the clinical and imaging data, surgical procedure, and follow-up outcomes of eight patients. We implemented the different thrombolytic methods to evaluate the optimal thrombosis management during the bypass surgery. After three months, we assessed neurological functions using the modified Rankin Scale (mRS) and conducted a literature review using PubMed. Results Eight patients (four male patients and four female patients) developed acute thrombosis during the bypass surgery. Of the eight patients, two underwent re-anastomosis after thrombus removal, three received local injections of tirofiban into the anastomosis or the branches of the superficial temporal artery, and three underwent superselective intra-arterial tirofiban infusion using a microcatheter. Thrombosis were resolved, and arteries were recanalized in all patients. The mRS score was 0 in all patients. No major ischemic or hemorrhagic complications occurred. Conclusion Our treatment methods were efficacious in the management of acute thrombosis. Intra-arterial tirofiban administration seems to be a simple and effective treatment option for acute thrombosis during STA-MCA bypass surgery.

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MXene based flexible microheater for enhanced infrared imaging of cerebral blood flow

Ye,

Lin,

Wang

et al. 2024

Progress in Natural Science: Materials International

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Application of intraoperative infrared thermography in bypass surgery for adult moyamoya syndrome: A preliminary study

Cited by 4 publications

References 16 publications

Analysis of Rescue Strategies for Acute Thrombosis in Moyamoya Patients during STA-MCA Bypass Surgery and the Literature Review

Analysis of Rescue Strategies for Acute Thrombosis in Moyamoya Patients during STA-MCA Bypass Surgery and the Literature Review

Analysis of rescue strategies for acute thrombosis during STA-MCA bypass surgery and the literature review

MXene based flexible microheater for enhanced infrared imaging of cerebral blood flow

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