Effects of Surgical Revascularization on Cerebral Oxygen Metabolism in Patients With Moyamoya Disease
作者： Satoshi Kuroda , Daina Kashiwazaki , Kenji Hirata , Tohru Shiga , Kiyohiro Houkin
DOI: 10.1161/STROKEAHA.114.006009
关键词:
摘要: Background and Purpose—This prospective study was aimed to evaluate the effects of surgical revascularization on cerebral oxygen metabolism in moyamoya disease. Methods—This included totally 69 hemispheres 42 patients who underwent superficial temporal artery middle anastomosis indirect bypass for disease between 2000 2011. There were 12 children 30 adults. MRI 15O-gas positron emission tomography performed before 3 4 months after surgery. Hemodynamic metabolic parameters precisely quantified statistically analyzed. Results—Preoperative tomographic scans revealed that blood flow decreased, volume increased, rate decreased both pediatric adult patients. Cerebral reduction observed ≈80% (16/21; 76%) (38/48; 79%). Surgical resolved hemodynamic compromise...
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