title: Revascularization surgery for 28 patients with moyamoya disease--operative methods, outcome and postoperative angiography.
abstract: 51 times (sides) of reconstructive surgery using 28 patients with moyamoya diseases were evaluated concerning operative methods, outcome and postoperative angiographic findings. Twenty patients (72%) showed excellent results, 7 patients (25%) good and 1 patient (3%) poor. Development of collaterals shown on postoperative angiograms was excellent on 20 sides, good on 9 sides, and fair on 8. Abundant neovascularization was most commonly noted on angiogram in superficial temporal artery-middle cerebral artery bypass with encephalo-myo-synangiosis. Encephalo-myo-arterio-synangiosis, devised by the authors, or encephalo-myo-synangiosis alone also produced preferable development of collaterals shown on angiogram. Superficial temporal artery-middle cerebral artery bypass alone was insufficient for development of neovascularization.
mesh_terms: D000293:Adolescent; D000328:Adult; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D002533:Cerebral Angiography; D002548:Cerebral Revascularization / Q000379:methods*; D002648:Child; D006801:Humans; D009072:Moyamoya Disease / Q000000981:diagnostic imaging / Q000601:surgery*