Indirect revascularization for Moyamoya disease



Intracranial revascularization surgeries are an effective treatment for moyamoya disease and other intracranial vascular obliterative diseases.

Debate exists regarding the merits and shortcomings of an indirect bypass procedure for treating adult patients with moyamoya disease (MMD).


There are various indirect surgical methods used to provide more blood flow to the brains of moyamoya patients. Indirect techniques rely on the approximation of vascularized tissue to the cerebral cortex to promote neoangiogenesis. This tissue may be in the form of muscle, pericranium, dura, or even omentum 1).


1)
Baaj AA, Agazzi S, Sayed ZA, Toledo M, Spetzler RF, van Loveren H. Surgical management of moyamoya disease: a review. Neurosurg Focus. 2009 Apr;26(4):E7. doi: 10.3171/2009.01.FOCUS08293. PMID: 19335133.
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