Complications following Encephalo-Duro-Arterio-Myo-Synangiosis in a case of Moyamoya disease

Hazra, Darpanarayan; Ghosh, Amit

doi:10.4103/bc.bc_27_19

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Moyamoya disease (MMD) is a progressive, irreversible stenosis, or occlusive disease of the cerebral vasculature that predisposes the patient to thrombosis and hemorrhage because of abnormal cerebral vascular development. 59 , 60 The current treatment is mainly revascularization surgery. 61 However, the perioperative period may cause postoperative complications such as hyperperfusion syndrome.…”

Section: Clinical Application Of Ric In Strokementioning

confidence: 99%

Remote ischemic conditioning after stroke: Research progress in clinical study

Jiang,

Wang,

et al. 2023

CNS Neurosci Ther

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Background and PurposeStroke is a leading cause of global morbidity and mortality, indicating the necessity and urgency of effective prevention and treatment. Remote ischemic conditioning (RIC) is a convenient, simple, non‐intrusive, and effective method that can be easily added to the treatment regime of stroke patients. Animal experiments and clinical trials have proved the neuroprotective effects of RIC on brain injury including (examples of neuroprotective effects). This neuroprotection is achieved by raising brain tolerance to ischemia, increasing local cerebral blood perfusion, promoting collateral circulations, neural regeneration, and reducing the incidence of hematomas in brain tissue. This current paper will summarize the studies within the last 2 years for the comprehensive understanding of the use of RIC in the treatment of stroke.MethodsThis paper summarizes the clinical research progress of RIC on stroke (ischemic stroke and hemorrhagic stroke (HS)). This paper is a systematic review of research published on registered clinical trials using RIC in stroke from inception through November 2022. Four major databases (PUBMED, WEB OF SCIENCE, EMBASE, and ClinicalTrials.gov) were searched.ResultsForty‐eight studies were identified meeting our criteria. Of these studies, 14 were in patients with acute ischemic stroke with onset times ranging from 6 h to 14 days, seven were in patients with intravenous thrombolysis or endovascular thrombectomy, 10 were in patients with intracranial atherosclerotic stenosis, six on patients with vascular cognitive impairment, three on patients with moyamoya disease, and eight on patients with HS. Of the 48 studies, 42 were completed and six are ongoing.ConclusionsRIC is safe, feasible, and effective in the treatment of stroke. Large‐scale research is still required to explore the optimal treatment options and mechanisms of RIC in the future to develop a breakthrough in stroke prevention and treatment.

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Section: Clinical Application Of Ric In Strokementioning

confidence: 99%

Remote ischemic conditioning after stroke: Research progress in clinical study

Jiang,

Wang,

et al. 2023

CNS Neurosci Ther

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“…Hazra i Ghosh opisali przypadek wystąpienia udaru niedokrwiennego po EDAMS. Aby zapobiec tego rodzaju powikłaniom, autorzy zalecają utrzymywanie normowolemii i prawidłowego ciśnienia tętniczego [62]. Podobnie jak przy zastosowaniu innych metod pośrednich, również po EDAMS odnotowano przypadek wystąpienia krwiaka wewnątrzczaszkowego.…”

Section: Technika Edamsunclassified

Rozwój i nowe perspektywy leczenia choroby moyamoya

et al. 2022

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“…The main goal of surgery is to improve blood flow to the hypoperfused brain ( 6 ). Different revascularisation strategies to attenuate ischaemic insults have been reported previously; these include direct bypasses, such as superficial temporal artery (STA)–middle cerebral artery (MCA) anastomosis ( 7 ) and STA–anterior cerebral artery anastomosis ( 8 ); indirect bypasses, such as encephalo-duro-arterio-synangiosis (EDAS) ( 9 ) and encephalo-myo-synangiosis (EMS) ( 10 ), and combinations of direct and indirect anastomosis ( 11 ). However, the optimal revascularisation strategy is still debated.…”

Section: Introductionmentioning

confidence: 99%

Superficial temporal artery–middle cerebral artery bypass in combination with encephalo-myo-synangiosis in Chinese adult patients with moyamoya disease

Li¹,

Wang²,

Wang³

et al. 2023

Front. Surg.

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ObjectiveTo evaluate the feasibility and safety of superficial temporal artery (STA)–middle cerebral artery (MCA) anastomosis in combination with encephalo-myo-synangiosis (EMS) in Chinese adult patients with moyamoya disease (MMD).MethodsA total of 65 patients with MMD who underwent combined STA–MCA bypass + EMS surgical revascularisation were included in this study. Each patient had a follow-up visit 6 months after discharge. Early bypass function was evaluated via computed tomography angiography and digital subtraction angiography, which were performed preoperatively and at 6 months after surgery. The perfusion parameters of cerebral blood flow (CBF), cerebral blood volume (CBV), mean transit time (MTT) and time to peak (TTP) were obtained and analysed. The clinical status of each patient was evaluated using a modified Rankin scale (mRS) preoperatively and at 1 week and 6 months after surgery.ResultsAmong the 65 enrolled patients, postoperative complications were observed in 5 (7.69%) patients, with 2 cases of dysphasia, 2 cases of new cerebral infarction and 1 case of seizure. Six months after surgery, 66 out of 68 hemispheres were found to have a functioning extra-intracranial bypass, and the patency rate was 97.06%. In terms of CBF perfusion, both the CBF and CBV increased significantly, while the MTT and TTP decreased after surgery. The mRS scores measured 1 week and 6 months after surgery were much lower than those measured preoperatively.ConclusionA direct STA–MCA bypass procedure in combination with indirect EMS bypass is feasible and safe for Chinese adult patients with MMD.

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Complications following Encephalo-Duro-Arterio-Myo-Synangiosis in a case of Moyamoya disease

Cited by 4 publications

References 11 publications

Remote ischemic conditioning after stroke: Research progress in clinical study

Remote ischemic conditioning after stroke: Research progress in clinical study

Rozwój i nowe perspektywy leczenia choroby moyamoya

Superficial temporal artery–middle cerebral artery bypass in combination with encephalo-myo-synangiosis in Chinese adult patients with moyamoya disease

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