Thieme Medical Publishers

Advanced Search

Surgical Techniques in Moyamoya Vasculopathy

Tricks of the Trade


Format: Hardback
ISBN: 9783131450616
Publication Date: October 2019

A luminary in the field of cerebrovascular surgery brings his pace-setting work on the surgical management of moyamoya disease to the neurosurgical community

When the rare stroke strikes in children and youth, a likely cause is the idiopathic disease moyamoya, characterized by the slow and progressive stenosis and occlusion of the internal carotid artery and the arteries of the circle of Willis. A result of these stenoses is the formation of collaterals that are typically small and fragile, and liable to rupture.

While there is no cure for moyamoya, a variety of surgical procedures can be performed to re-establish and maintain adequate blood supply to the affected brain areas. The procedures described here include various revascularization techniques and recommended bypasses.

Key Features:

  • With contributions from the world's most renowned bypass surgeons
  • Perioperative management and considerations
  • An overall practical approach to this painstaking high-end surgery
  • Detailed criteria for analyzing the situation and choosing the appropriate procedure
  • General principles of bypass surgery, direct and indirect revascularization, and combined revascularization techniques
  • Step-by-step descriptions of these procedures
  • Rescue strategies when repeat surgery is necessary

Surgical Techniques in Moyamoya Vasculopathy is an indispensable guide for the experienced neurovascular surgeon.

This book includes complimentary access to a digital copy on

Part 1 General Concepts
1 Perioperative Management and Considerations
2 General Principles of Direct Bypass Surgery
3 General Principles of Indirect Bypass Surgery
Part 2 Indirect Revascularization
4 Mulitple Burr Holes
5 Encephalo-myo-synangiosis
6 Encephalo-duro-arterio-synangiosis: Pediatric
7 Encephalo-duro-arterio-synangiosis: In Adults
8 Bifront Encephalo-duro-periosteal-synangiosis Combined with STA–MCA Bypass
Part 3 Direct Revascularization
9 STA–MCA Bypass for Direct Revascularization in Moyamoya Disease
10 Double-Barrel Bypass in Moyamoya Disease
11 Occipital Artery–Middle Cerebral Artery Bypass in Moyamoya Disease
12 STA–ACA/MCA Double Bypasses with Long Grafts
13 Double Anastomosis Using Only One Branch of the Superficial Temporal Artery: Single-Vessel Double Anastomosis
Part 4 Combined Revascularization
14 Combined STA–MCA Bypass and Encephalo-myo-synangiosis
15 STA–MCA Bypass and EMS/EDMS
16 Combined Direct (STA–MCA) and Indirect (EDAS) EC–IC Bypass
17 STA–MCA Anastomosis and EDMAPS
18 STA–MCA Bypass and Encephalo-duro-arterio-synangiosis
19 Individualized Extracranial-Intracranial Revascularization in the Treatment of Late-Stage Moyamoya Disease
Part 5 Rescue Strategies for Repeat Surgery
20 Omental–Cranial Transposition
21 ECA–MCA Bypass with Radial Artery Grafts
22 OA–MCA or OA–PCA Bypass
23 PAA–MCA Bypass

Your comment or review