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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 2016-12 上傳時間 6-Sep-2017 16:30:53 (UTC+8) 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 dc.contributor 心理系 zh_TW dc.creator (作者) 楊啟正 zh_TW dc.creator (作者) Yeh, Shin-Joe en_US dc.creator (作者) Tang, Sung-Chun en_US dc.creator (作者) Tsai, Li-Kai en_US dc.creator (作者) Chen, Ya-Fang en_US dc.creator (作者) Liu, Hon-Man en_US dc.creator (作者) Chen, Ying-An en_US dc.creator (作者) Hsieh, Yu-Lin en_US dc.creator (作者) Yang, Shih-Hung en_US dc.creator (作者) Tien, Yu-Hsuan en_US dc.creator (作者) Yang, Chi-Cheng en_US dc.date (日期) 2016-12 dc.date.accessioned 6-Sep-2017 16:30:53 (UTC+8) - dc.date.available 6-Sep-2017 16:30:53 (UTC+8) - dc.date.issued (上傳時間) 6-Sep-2017 16:30:53 (UTC+8) - dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/112539 - dc.description.abstract (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. en_US dc.relation (關聯) Ultrasound in Medicine and Biology, Vol.42, No.12, pp.2844-2851 en_US dc.subject (關鍵詞) Encephaloduroarteriosynangiosis; Indirect revascularization; Moyamoya disease; Pediatric stroke; Ultrasonography en_US dc.title (題名) Ultrasonographic Changes after Indirect Revascularization Surgery in Pediatric Patients with Moyamoya Disease en_US dc.type (資料類型) article dc.identifier.doi (DOI) 10.1016/j.ultrasmedbio.2016.07.016 dc.doi.uri (DOI) https://doi.org/10.1016/j.ultrasmedbio.2016.07.016
