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01-01-2016 | Neuro

CT perfusion assessment of Moyamoya syndrome before and after direct revascularization (superficial temporal artery to middle cerebral artery bypass)

Authors: Yueqin Chen, Wenjian Xu, Xiang Guo, Zhitao Shi, Zhanguo Sun, Lingyun Gao, Feng Jin, Jiehuan Wang, Weijian Chen, Yunjun Yang

Published in: European Radiology | Issue 1/2016

Abstract

Purpose

To evaluate the utility of CT perfusion (CTP) for the assessment of superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis in patients with Moyamoya syndrome (MMS).

Subjects and methods

Twenty-four consecutive MMS patients, who underwent unilateral STA-MCA bypass surgery, received CTP before and after surgery. The relative perfusion parameter values of surgical hemispheres before treatment were compared with post-treatment values. All patients underwent CT angiography (CTA) before and after surgery in order to confirm the patency of bypass.

Results

The follow-up CTA after surgery clearly demonstrated 20 (20/24, 83.3 %) bypass arteries, whereas four (16.7 %) bypass arteries were occluded or very small. Postoperative rMTT and rTTP values (P < 0.05) of the surgical side were significantly lower than pre-operation. In patients (n = 20) with bypass patency, postoperative rCBF, rMTT and rTTP values (P < 0.05) of the surgical side were significantly improved. However, the differences of all parameters were not significant (P > 0.05) in the patients (n = 4) without bypass patency after revascularization.

Conclusion

This study demonstrates that CTP can provide a crucial quantitative assessment of cerebral haemodynamic changes in MMS before and after STA-MCA anastomosis.

Key Points

• Twenty-four MMS patients undergoing STA-MCA bypass received CTP pre- and post-surgery

• Cerebral haemodynamics improved on the surgical side post-surgery on CTP maps

• rCBF might have a better correlation with patency of the bypass artery.

• CTP can evaluate cerebral perfusion changes in MMS patients after cerebral revascularization

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Title: CT perfusion assessment of Moyamoya syndrome before and after direct revascularization (superficial temporal artery to middle cerebral artery bypass)
Authors: Yueqin Chen
Wenjian Xu
Xiang Guo
Zhitao Shi
Zhanguo Sun
Lingyun Gao
Feng Jin
Jiehuan Wang
Weijian Chen
Yunjun Yang
Publication date: 01-01-2016
Publisher: Springer Berlin Heidelberg
Published in: European Radiology / Issue 1/2016
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-015-3802-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

CT perfusion assessment of Moyamoya syndrome before and after direct revascularization (superficial temporal artery to middle cerebral artery bypass)

Abstract

Purpose

Subjects and methods

Results

Conclusion

Key Points

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Subjects and methods

Results

Conclusion

Key Points

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