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https://ah.lib.nccu.edu.tw/handle/140.119/112539
題名: | Ultrasonographic Changes after Indirect Revascularization Surgery in Pediatric Patients with Moyamoya Disease | 作者: | 楊啟正 Yeh, Shin-Joe Tang, Sung-Chun Tsai, Li-Kai Chen, Ya-Fang Liu, Hon-Man Chen, Ying-An Hsieh, Yu-Lin Yang, Shih-Hung Tien, Yu-Hsuan Yang, Chi-Cheng |
貢獻者: | 心理系 | 關鍵詞: | Encephaloduroarteriosynangiosis; Indirect revascularization; Moyamoya disease; Pediatric stroke; Ultrasonography | 日期: | Dec-2016 | 上傳時間: | 6-Sep-2017 | 摘要: | The marked cerebral hypoperfusion of moyamoya disease (MMD) can be treated with encephaloduroarteriosynangiosis (EDAS), an indirect revascularization surgery. Collateral establishment after the surgery is a gradual process; thus, easy access to serial assessment is of great importance. We prospectively recruited 15 pediatric moyamoya patients who underwent EDAS surgeries on a total of 19 hemispheres. Ultrasonography of extracranial and intracranial arteries was performed pre-operatively and post-operatively at 1, 3 and 6 mo. Among the extracranial arteries, the superficial temporal artery had the most pronounced increase in flow velocity and decrease in flow resistance from 1 mo post-surgery (p < 0.01). Among the large intracranial arteries, a significant increase in peak systolic velocity was observed in the anterior cerebral artery from 3 mo post-surgery (p < 0.05). These findings indicate significant hemodynamic changes on ultrasonography in pediatric moyamoya patients after indirect revascularization surgery. | 關聯: | Ultrasound in Medicine and Biology, Vol.42, No.12, pp.2844-2851 | 資料類型: | article | DOI: | https://doi.org/10.1016/j.ultrasmedbio.2016.07.016 |
Appears in Collections: | 期刊論文 |
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