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01-04-2017 | Original Article

Assessment of the cortical artery using computed tomography angiography for bypass surgery in moyamoya disease

Authors: Hime Suzuki, Takeshi Mikami, Katsuya Komatsu, Shouhei Noshiro, Kei Miyata, Toru Hirano, Masahiko Wanibuchi, Nobuhiro Mikuni

Published in: Neurosurgical Review | Issue 2/2017

Abstract

Computed tomography angiography (CTA) is often used to assess the vascular status in moyamoya disease. The purpose of the study is to identify the characteristics of cortical arteries (M4) of moyamoya disease on CTA; the clinical significance of which is also discussed. A total of 38 hemispheric sides of 27 patients with moyamoya disease were included in this study. The number of M4 was visualized on CTA using cortical surface imaging and compared between the moyamoya disease group and the non-moyamoya disease group or the control group. Then, the clinical and radiological factors associated with the number of M4, the distribution of M4, and collateral circulation were examined. The number of M4 was lower in the moyamoya disease group than in the non-moyamoya disease group and in the control group (p < 0.05). There are few predictive clinical factors of the number of M4 except male sex. The prefrontal artery, precentral artery, central artery, and angular artery had a significantly higher prevalence in moyamoya disease (p < 0.05). The durocortical and periventricular anastomosis had a significantly higher prevalence in moyamoya disease (p < 0.05). The prevalence and distribution pattern of cortical arteries in moyamoya disease differed from that of the non-moyamoya disease group, and the distribution patterns of M4 might be influenced by collateral circulation. It is thus essential to recognize M4 to assess the recipient artery so as to ensure superficial temporal artery–middle cerebral artery bypass.

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Title: Assessment of the cortical artery using computed tomography angiography for bypass surgery in moyamoya disease
Authors: Hime Suzuki
Takeshi Mikami
Katsuya Komatsu
Shouhei Noshiro
Kei Miyata
Toru Hirano
Masahiko Wanibuchi
Nobuhiro Mikuni
Publication date: 01-04-2017
Publisher: Springer Berlin Heidelberg
Published in: Neurosurgical Review / Issue 2/2017
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-016-0773-0

At a glance: The STEP trials

Springer Medicine

Assessment of the cortical artery using computed tomography angiography for bypass surgery in moyamoya disease

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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