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ofthecircleofWillis).NeurolMedChir(Tokyo)2012;
angiography(MRA)tocorroboratethehemodynamic
52:245-266.
changes.
10.LeeM,ZaharchukG,GuzmanR,etal.Quantitativehe-
Of17patientsinourstudy,nosigni?cantdifference
modynamicstudiesinmoyamoyadisease:areview.Neu-
wasobservedinPSV,EDV,orRIoftheMAat2weeks
rosurgFocus2009;26:E5.
postoperativelyandthebaseline,whereasremarkably11.SaidaT,MasumotoT,NakaiY,etal.Moyamoyadisease:
evaluationofpostoperativerevascularizationusing
elevatedEDVandreducedRIappearedat6monthsafter
multiphaseselectivearterialspinlabelingMRI.JComput
bypass(Fig4).DifferentfromSTA-MCAdirectvascular
AssistTomogr2012;36:143-149.
anastomosis,thetherapeuticeffectofindirectanasto-
12.MaY,LiM,JiaoLQ,etal.Contralateralcerebralhemody-
mosisdependedonneovascularization.Becauseno
namicchangesafterunilateraldirectrevascularizationin
formationofnewarterieswasfoundbetweenthedural-patientswithmoyamoyadisease.NeurosurgRev2011;
34:347-353.discussion353-354.
pialarteryandtemporalintramuscularcapillaries-pial
13.UchinoH,KurodaS,HirataK,etal.Predictorsandclin-
arteryat2weeks,wefailedto?ndanydifferenceinhe-
icalfeaturesofpostoperativehyperperfusionaftersurgi-
modynamicsatthatmomentcomparedwiththebaseline.
calrevascularizationformoyamoyadisease:aserial
Incontrast,6monthsaftersurgery,whennewarteries
singlephotonemissionCT/positronemissiontomogra-
werecompletelyformed,weidenti?edsigni?cantlyphystudy.Stroke2012;43:2610-2616.
14.KraemerM,SchuknechtB,JetzerAK,etal.Postoperative
elevatedEDVandreducedRIinDoppler,suggestinga
changesinthesuper?cialtemporalarteryandthe
substantialreductioninresistanceinbothmiddlemenin-
externalcarotidarteryduplexsonographyafterextra-
gealarteryanddeeptemporalartery.Therefore,ultraso-
intracranialbypasssurgeryinEuropeanMoyamoyadis-
nographymaynotonlybeusedforevaluatingthe
ease.ClinNeurolNeurosurg2012;114:930-934.
ef?cacyofdirectvascularanastomosisbutalsoforevalu-15.WuM,HuangZ,ZhangD,etal.Colordopplerhemody-
namicstudyofthesuper?cialtemporalarteriesinsuper-
atingtheef?cacyofindirectvascularanastomosisby
?cialtemporalartery-middlecerebralartery(STA-MCA)
measuringhemodynamicchangesoftheMAbeforeand
bypasssurgeryforMoyamoyadisease.WorldNeurosurg
aftersurgery.Inconclusion,duplexultrasonographyisa
2011;75:258-263.
reliable,noninvasivetooltoassesshemodynamicchanges
16.BangJS,KwonOK,KimJE,etal.Quantitativeangio-
andevaluatethetherapeuticperformanceofcombinedgraphiccomparisonwiththeOSIRISprogrambetween
thedirectandindirectrevascularizationmodalities
bypasssurgeryinadultMMD.
inadultmoyamoyadisease.Neurosurgery2012;
70:625-632.discussion632-633.
17.StarkeRM,KomotarRI,ConnollyES.Optimalsurgical
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