Journal of neurosurgery
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Journal of neurosurgery · Aug 2014
Editorial CommentEditorial: see one, simulate fifty, then do one?
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Journal of neurosurgery · Aug 2014
Review Meta AnalysisThe frequency of postoperative stroke in moyamoya disease following combined revascularization: a single-university series and systematic review.
Although combined direct and indirect anastomosis in patients with moyamoya disease immediately increases cerebral blood flow, the surgical procedure is more complex. Data pertinent to the postoperative complications associated with combined bypass are relatively scarce compared with those associated with indirect bypass. This study investigated the incidence and characteristics of postoperative stroke in combined bypass and compared them with those determined from a literature review to obtain data from a large population. ⋯ This experience of 358 consecutive procedures is one of the largest series for which the postoperative stoke rate for direct/combined bypass performed with a unified strategy has been reported. A systematic review confirmed that the postoperative stroke rate for the direct/combined procedure was comparable to that for the indirect procedure.