Direct Bypass Versus Indirect Bypass in Adult Moyamoya Angiopathy with Symptoms or Hemodynamic Instability: A Meta-analysis of Comparative Studies

World Neurosurgery
Hoon KimKyung-Do Han

Abstract

It remains controversial which bypass methods are optimal for treating adult moyamoya angiopathy patients. This study aimed to analyze the literature about whether different bypass methods affect differently outcome results of adult moyamoya patients with symptoms or hemodynamic instability. A systematic search of the PubMed, Embase, and Cochrane Central databases was performed for articles published between 1990 and 2015. Comparative studies about the effect of direct or combined bypass (direct bypass group) and indirect bypass (indirect bypass group) in patients with moyamoya angiopathy at 18 years of age or older were selected. For stroke incidence at the end of the follow-up period, the degree of angiographic revascularization, hemodynamic improvement, and perioperative complication rates within 30 days, pooled relative risks were calculated between the 2 groups with a 95% confidence interval. A total of 8 articles (including 536 patients and 732 treated hemispheres) were included in the meta-analysis. There were no significant differences between the 2 groups when we compared the overall stroke rate, the hemodynamic improvement rate, or the perioperative complication rate at the end of the follow-up period. The direct bypa...Continue Reading

References

Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Jun 19, 1998·Neurologia Medico-chirurgica·H IseH Sawaura
Sep 6, 2003·BMJ : British Medical Journal·Julian P T HigginsDouglas G Altman
Apr 19, 2005·Journal of Neurology, Neurosurgery, and Psychiatry·T NariaiK Ohno
Oct 31, 2012·Acta neurochirurgica·Bradley A Gross, Rose Du
Oct 30, 2013·Journal of Cerebrovascular and Endovascular Neurosurgery·Won-Seo ChoiKyoung-Suok Cho
Jan 5, 2014·AJNR. American Journal of Neuroradiology·D-K JangY-M Han
Mar 29, 2014·Stroke; a Journal of Cerebral Circulation·Susumu MiyamotoUNKNOWN JAM Trial Investigators
Sep 4, 2014·Stroke; a Journal of Cerebral Circulation·Won-Sang ChoChang Wan Oh

❮ Previous
Next ❯

Citations

Jan 19, 2018·Stroke; a Journal of Cerebral Circulation·Güliz AckerPeter Vajkoczy
Feb 6, 2019·Neurosurgical Focus·Ethan A WinklerAdib A Abla
May 6, 2017·Journal of Neurosurgery·Jin Pyeong JeonChang Wan Oh
Mar 15, 2019·Experimental and Therapeutic Medicine·Hui ZhangLei Feng
May 12, 2019·Neurosurgery·Xiaofeng DengJizong Zhao
May 29, 2018·Current Treatment Options in Neurology·Si Un LeeTackeun Kim
Nov 8, 2020·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Changwen LiChengyu Xia
Jul 17, 2021·Frontiers in Neurology·Kristin LuciaPeter Vajkoczy

❮ Previous
Next ❯

Related Concepts

Related Feeds

Acute Stroke

A stroke occurs when blood supply to the brain is interrupted depriving the brain of oxygen and nutrients. This feed focuses cerebrovascular accidents including ischemic and paralytic stroke.

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Related Papers

Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
K WijarnpreechaKiran Nakkala
Internal Medicine Journal
Wisit CheungpasitpornStephen B Erickson
© 2022 Meta ULC. All rights reserved