国家神经系统疾病临床医学研究中心数据管理与共享系统

Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases

Encephaloduroarteriosynangiosis for pediatric moyamoya disease: a single-center experience with 67 cases in China

第一作者:Wang Chengjun, Chengjun

通讯作者:Zhao Jizong, Jizong

Encephaloduroarteriosynangiosis indirect revascula

基本信息

2018-12-01

已发表文章

发表杂志:J Child Neurol

发表类型: Article

影响因子(IF): 1.987

PMID: 30246586 Pubmed原文链接 全文下载

主要研究背景及目的

方法

We performed a retrospective analysis of 67 pediatric patients with moyamoya disease who underwent encephaloduroarteriosynangiosis in Beijing Tiantan Hospital. The case series included 36 boys and 31 girls. All the patients underwent surgical revascularization, and a total of 93 encephaloduroarteriosynangiosis procedures were performed (41 unilateral, 26 bilateral). The mean follow-up period after surgery was 30 months.

结论

Our study suggests that long-term surgical outcome of encephaloduroarteriosynangiosis in pediatric moyamoya disease patients is satisfactory, and this technique has a positive impact on the prevention of stroke recurrence.

主要结果

During follow-up, ischemic stroke events were detected in 5 patients and the stroke rate for pediatric patients who underwent encephaloduroarteriosynangiosis procedure was 7.1% per patient-years. At the last follow-up, favorable outcomes (modified Rankin Scale score ≤ 2) were observed in 65 cases (97.0%).