Endovascular Treatment of Arterial Steno-Occlusive Lesions in Symptomatic Moyamoya Disease
The efficacy and safety of endovascular treatment (EVT) for moyamoya disease (MMD) have rarely been investigated. The objective of this study was to summarize the clinical outcomes of EVT for MMD and determine the potential role of EVT in treating symptomatic steno-occlusive lesions in MMD. Reports...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Interventional Neuroradiology
2022-11-01
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| Series: | Neurointervention |
| Subjects: | |
| Online Access: | http://neurointervention.org/upload/pdf/neuroint-2022-00332.pdf |
| _version_ | 1827364475788853248 |
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| author | Jae-Chan Ryu Yun Hyeok Choi Mi Hyeon Kim Eun Ji Moon Youngjin Kim Boseong Kwon Yunsun Song Deok Hee Lee |
| author_facet | Jae-Chan Ryu Yun Hyeok Choi Mi Hyeon Kim Eun Ji Moon Youngjin Kim Boseong Kwon Yunsun Song Deok Hee Lee |
| author_sort | Jae-Chan Ryu |
| collection | DOAJ |
| description | The efficacy and safety of endovascular treatment (EVT) for moyamoya disease (MMD) have rarely been investigated. The objective of this study was to summarize the clinical outcomes of EVT for MMD and determine the potential role of EVT in treating symptomatic steno-occlusive lesions in MMD. Reports from January 2000 to December 2021 describing EVT in MMD were collected through a literature search. The search terms included “moyamoya”, “stent”, “angioplasty”, and “endovascular”. Data regarding baseline demographics, previous medical history, treated vessel, periprocedural complications, and angiographical recurrence were retrieved. This review included 10 studies with details of 19 patients undergoing a total of 31 EVT procedures. Twenty-one EVTs were performed as initial treatments for MMD, and 10 were performed as additional treatments for angiographical recurrence. The mean follow-up period of the initial EVTs was 9.0±11.9 months, with angiographical recurrence in 11 (68.8%) cases. The mean follow-up period of additional EVTs was 4.3±3.9 months, and seven (70.0%) EVTs showed restenosis of the re-treated vessel. Across all initial and additional EVTs, there were no differences in characteristics between the recurrence and non-recurrence groups. Overall, two periprocedural complications (9.5%) occurred, one vessel rupture and one massive intracerebral hemorrhage with subarachnoid hemorrhage. EVT plays a limited role in the management of symptomatic intracranial arterial steno-occlusive lesions of MMD. Recent advances in understanding the pathomechanism of MMD may urge neuro-interventionists to find a new endovascular approach with better balloon angioplasty or stenting mechanisms. |
| first_indexed | 2024-03-08T08:10:41Z |
| format | Article |
| id | doaj.art-9308c99973f5444aa25fc491d1d639c0 |
| institution | Directory Open Access Journal |
| issn | 2093-9043 2233-6273 |
| language | English |
| last_indexed | 2024-03-08T08:10:41Z |
| publishDate | 2022-11-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj.art-9308c99973f5444aa25fc491d1d639c02024-02-02T08:46:37ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732022-11-0117316116710.5469/neuroint.2022.00332380Endovascular Treatment of Arterial Steno-Occlusive Lesions in Symptomatic Moyamoya DiseaseJae-Chan Ryu0Yun Hyeok Choi1Mi Hyeon Kim2Eun Ji Moon3Youngjin Kim4Boseong Kwon5Yunsun Song6Deok Hee Lee7 Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaThe efficacy and safety of endovascular treatment (EVT) for moyamoya disease (MMD) have rarely been investigated. The objective of this study was to summarize the clinical outcomes of EVT for MMD and determine the potential role of EVT in treating symptomatic steno-occlusive lesions in MMD. Reports from January 2000 to December 2021 describing EVT in MMD were collected through a literature search. The search terms included “moyamoya”, “stent”, “angioplasty”, and “endovascular”. Data regarding baseline demographics, previous medical history, treated vessel, periprocedural complications, and angiographical recurrence were retrieved. This review included 10 studies with details of 19 patients undergoing a total of 31 EVT procedures. Twenty-one EVTs were performed as initial treatments for MMD, and 10 were performed as additional treatments for angiographical recurrence. The mean follow-up period of the initial EVTs was 9.0±11.9 months, with angiographical recurrence in 11 (68.8%) cases. The mean follow-up period of additional EVTs was 4.3±3.9 months, and seven (70.0%) EVTs showed restenosis of the re-treated vessel. Across all initial and additional EVTs, there were no differences in characteristics between the recurrence and non-recurrence groups. Overall, two periprocedural complications (9.5%) occurred, one vessel rupture and one massive intracerebral hemorrhage with subarachnoid hemorrhage. EVT plays a limited role in the management of symptomatic intracranial arterial steno-occlusive lesions of MMD. Recent advances in understanding the pathomechanism of MMD may urge neuro-interventionists to find a new endovascular approach with better balloon angioplasty or stenting mechanisms.http://neurointervention.org/upload/pdf/neuroint-2022-00332.pdfendovascularmoyamoya diseaseangioplastystentdrug-eluting |
| spellingShingle | Jae-Chan Ryu Yun Hyeok Choi Mi Hyeon Kim Eun Ji Moon Youngjin Kim Boseong Kwon Yunsun Song Deok Hee Lee Endovascular Treatment of Arterial Steno-Occlusive Lesions in Symptomatic Moyamoya Disease Neurointervention endovascular moyamoya disease angioplasty stent drug-eluting |
| title | Endovascular Treatment of Arterial Steno-Occlusive Lesions in Symptomatic Moyamoya Disease |
| title_full | Endovascular Treatment of Arterial Steno-Occlusive Lesions in Symptomatic Moyamoya Disease |
| title_fullStr | Endovascular Treatment of Arterial Steno-Occlusive Lesions in Symptomatic Moyamoya Disease |
| title_full_unstemmed | Endovascular Treatment of Arterial Steno-Occlusive Lesions in Symptomatic Moyamoya Disease |
| title_short | Endovascular Treatment of Arterial Steno-Occlusive Lesions in Symptomatic Moyamoya Disease |
| title_sort | endovascular treatment of arterial steno occlusive lesions in symptomatic moyamoya disease |
| topic | endovascular moyamoya disease angioplasty stent drug-eluting |
| url | http://neurointervention.org/upload/pdf/neuroint-2022-00332.pdf |
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