دورية أكاديمية
أعرض في EDS

Intraoperative evaluation of local cerebral hemodynamic change by laser speckle contrast imaging for predicting postoperative cerebral hyperperfusion during STA-MCA bypass in adult patients with moyamoya disease.

التفاصيل البيبلوغرافية
العنوان: Intraoperative evaluation of local cerebral hemodynamic change by laser speckle contrast imaging for predicting postoperative cerebral hyperperfusion during STA-MCA bypass in adult patients with moyamoya disease.
المؤلفون: Tao T; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China., Zhu W; Britton Chance Center and MoE Key Laboratory for Biomedical Photonics, Wuhan National Laboratory for Optoelectronics, Huazhong University of Science and Technology, Wuhan, China., Yu J; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China., Li X; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China., Wei W; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China., Hu M; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China., Luo M; Department of Neurosurgery, WuHan Third Hospital, Wuhan, China., Wan G; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China., Li P; Britton Chance Center and MoE Key Laboratory for Biomedical Photonics, Wuhan National Laboratory for Optoelectronics, Huazhong University of Science and Technology, Wuhan, China., Chen J; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China., Zhang J; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China.
المصدر: Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism [J Cereb Blood Flow Metab] 2024 Jul; Vol. 44 (7), pp. 1163-1173. Date of Electronic Publication: 2024 Jan 17.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: SAGE Publications Country of Publication: United States NLM ID: 8112566 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1559-7016 (Electronic) Linking ISSN: 0271678X NLM ISO Abbreviation: J Cereb Blood Flow Metab Subsets: MEDLINE
أسماء مطبوعة: Publication: 2016- : Thousand Oaks, CA : SAGE Publications
Original Publication: New York : Raven Press, c1981-
مواضيع طبية MeSH: Moyamoya Disease*/surgery , Moyamoya Disease*/diagnostic imaging , Moyamoya Disease*/physiopathology , Cerebrovascular Circulation*/physiology , Cerebral Revascularization*/methods , Middle Cerebral Artery*/diagnostic imaging , Middle Cerebral Artery*/surgery , Middle Cerebral Artery*/physiopathology , Temporal Arteries*/surgery , Temporal Arteries*/diagnostic imaging , Laser Speckle Contrast Imaging*/methods , Hemodynamics*/physiology, Humans ; Adult ; Male ; Female ; Middle Aged ; Tomography, Emission-Computed, Single-Photon/methods ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/etiology ; Young Adult
مستخلص: Cerebral hyperperfusion (CHP) occurred frequently after direct superficial temporal artery-middle cerebral artery (STA-MCA) bypass surgery for moyamoya disease (MMD). We analyzed cortical microvascular density (CMD) and the change of cerebral blood flow (LΔCBF) using intraoperative laser speckle contrast imaging (LSCI) on 130 hemispheres of 95 consecutive adult patients with MMD. The demographic characteristics, cortical hemodynamic sources, bypass methods, intraoperative blood flow data, and relative CBF changes on single-photon emission computed tomography (SPECT) examination (SΔrCBF) were compared between the groups with and without CHP. The median values for CMD, LΔCBF, and SΔrCBF were significantly higher in the CHP group than in the non-CHP group (CMD 0.240 vs 0.206, P  = 0.004; LΔCBF 2.285 vs 1.870, P <  0.001; SΔCBF 1.535 vs 1.260, P <  0.001). Multivariate analysis revealed that hemodynamic sources of recipient parasylvian cortical arteries from MCA (M-PSCAs), end-to-side (E-S) bypass method, CMD ≥ 0.217, and LΔCBF ≥ 1.985 were the risk factors for CHP. Intraoperative LSCI was useful for evaluating hemodynamics and predicting CHP in patients with MMD.
Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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فهرسة مساهمة: Keywords: Laser speckle contrast imaging; STA-MCA bypass; cerebral hyperperfusion; moyamoya disease; side-to-side bypass method
تواريخ الأحداث: Date Created: 20240117 Date Completed: 20240612 Latest Revision: 20240618
رمز التحديث: 20240618
مُعرف محوري في PubMed: PMC11179619
DOI: 10.1177/0271678X241226483
PMID: 38233750
قاعدة البيانات: MEDLINE
الوصف
تدمد:1559-7016
DOI:10.1177/0271678X241226483