Department of Neurosurgery, Duke University Medical Center, 1000 Trent Drive 4520 Hosp. South, Box 3807, Durham, NC, 27710, USA.
Department of Neurosurgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
Acta Neurochir (Wien). 2020 Aug;162(8):1841-1845. doi: 10.1007/s00701-020-04441-3. Epub 2020 Jun 6.
A variety of revascularization techniques have been reported for the management of moyamoya disease to prevent risks of stroke. STA (superficial temporal artery)-MCA (middle cerebral artery) microanastomosis, single or double bypass, with temporal muscle or galeal onlay graft has been the standard operative procedure.
Our rationale of revascularization surgery has been a combination of STA-MCA double bypass using the frontal and the parietal branches of STA and transfer of a highly vascularized thick galeal flap with maintained STA vasculature.
This STA-enhanced vascularized galeal flap graft is extremely effective for revascularization of moyamoya disease.
为预防中风风险，已报道多种血运重建技术用于治疗烟雾病。STA（颞浅动脉）-MCA（大脑中动脉）显微吻合、单或双旁路、颞肌或骨膜覆盖移植已成为标准手术操作。
我们的血运重建手术理念是采用 STA 的额支和顶支进行 STA-MCA 双旁路吻合，同时转移带有保留 STA 血管的高血流密度厚骨膜瓣。
这种增强型 STA 血管化骨膜瓣移植物对烟雾病的血运重建极为有效。
