In rare cases of stroke in children and youths, 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 reestablish 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 surgeonsPerioperative management and considerationsAn overall practical approach to this painstaking high-end surgeryDetailed criteria for analyzing the situation and choosing the appropriate procedureGeneral principles of bypass surgery, direct and indirect revascularization, and combined revascularization techniquesStep-by-step descriptions of these proceduresRescue strategies when repeat surgery is necessarySurgical Techniques in Moyamoya Vasculopathy is an indispensable guide for the experienced neurovascular surgeon.This book includes complimentary access to a digital copy on https://medone.thieme.com.
