title: Safety of Extracranial-Intracranial Arterial Bypass in the Treatment of Moyamoya Disease.
abstract: OBJECTIVE
  The purpose of this study is to uncover the controversial problems and review the safety of extracranial-intracranial arterial bypass (EC-IC arterial bypass) in the treatment of moyamoya disease.
  
  
  METHODS
  Published randomized controlled clinical trials were searched from PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Web of science without date or language limitations until September 2016. Meta-analysis was performed as recommended by the Cochrane Collaboration of trials.
  
  
  RESULTS
  In total 2 studies were included by strict inclusion and exclusion criteria. The result of meta-analysis showed that surgical group had a greater reduction of the primary end points (OR [0.35], 95% CI [0.15, 0.84], I = 0%) than that of the nonsurgical group.
  
  
  CONCLUSIONS
  Surgical therapy significantly lowers incidence of the primary end points (including rebleeding attack; completed stroke resulting in significant morbidity; mortality from any medical cause and requirement for bypass surgery fora nonsurgical patient as determined by a registered neurologist) compared with nonsurgical therapy. High-quality randomized controlled trials are required to confirm this conclusion.
authors.affiliation: *Nursing School, Southwest Medical University, Luzhou†Basic Medical College, Guangzhou University of Chinese Medicine, Guangzhou University Island, Guangzhou, China.
authors.forename: Lian
authors.initials: L
authors.lastname: Liu
authors.forename: Song Wei
authors.initials: SW
authors.lastname: Su
authors.forename: Hong Yan
authors.initials: HY
authors.lastname: Sun
mesh_terms: D000328:Adult; D002548:Cerebral Revascularization / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D009017:Morbidity; D009072:Moyamoya Disease / Q000601:surgery*; D061214:Patient Safety; D020521:Stroke / Q000517:prevention & control