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 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 https://medone.thieme.com.

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 STAMCA Bypass
Part 3 Direct Revascularization
9 STAMCA Bypass for Direct Revascularization in Moyamoya Disease
10 Double-Barrel Bypass in Moyamoya Disease
11 Occipital ArteryMiddle Cerebral Artery Bypass in Moyamoya Disease
12 STAACA/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 STAMCA Bypass and Encephalo-myo-synangiosis
15 STAMCA Bypass and EMS/EDMS
16 Combined Direct (STAMCA) and Indirect (EDAS) ECIC Bypass
17 STAMCA Anastomosis and EDMAPS
18 STAMCA 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 OmentalCranial Transposition
21 ECAMCA Bypass with Radial Artery Grafts
22 OAMCA or OAPCA Bypass
23 PAAMCA Bypass