Yim Benjamin, Gauden Andrew J, Steinberg Gary K
Department of Neurosurgery, Stanford University School of Medicine, Stanford, California.
Neurosurg Focus Video. 2022 Jan 1;6(1):V16. doi: 10.3171/2021.10.FOCVID21191. eCollection 2022 Jan.
The surgical treatment of moyamoya disease is heavily reliant upon a real-time understanding of cerebral hemodynamics. The application of FLOW 800 allows the surgeon to semiquantify the degree of perfusion to the cerebral cortex following extracranial-to-intracranial (EC-IC) bypass surgery. The authors present three illustrative cases demonstrating common intraoperative findings prior to and following anastomosis using FLOW 800. All patients were diagnosed by catheter angiogram with moyamoya disease and noninvasive imaging demonstrating hemispheric hypoperfusion. Superficial temporal artery (STA)-to-middle cerebral artery (MCA or M4) bypasses were performed to augment intracranial perfusion. The patients tolerated the procedures well and were discharged without event in stable neurological condition. The video can be found here: https://stream.cadmore.media/r10.3171/2021.10.FOCVID21191.
烟雾病的外科治疗严重依赖于对脑血流动力学的实时了解。FLOW 800的应用使外科医生能够在颅外-颅内（EC-IC）旁路手术后对大脑皮质的灌注程度进行半定量分析。作者展示了三个具有代表性的病例，展示了使用FLOW 800进行吻合术前和术后常见的术中发现。所有患者均通过导管血管造影诊断为烟雾病，无创成像显示半球灌注不足。进行了颞浅动脉（STA）-大脑中动脉（MCA或M4）旁路手术以增加颅内灌注。患者对手术耐受性良好，出院时神经状况稳定，无不良事件发生。视频可在此处找到：https://stream.cadmore.media/r10.3171/2021.10.FOCVID21191 。
