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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2011-6-17
pubmed:abstractText
We investigated whether postoperative hyperperfusion in moyamoya disease can be predicted using intraoperative laser Doppler flowmetry and/or thermography. A prospective study was conducted on 27 patients (39 hemispheres) with moyamoya disease who underwent superficial temporal artery-middle cerebral artery (STA-MCA) bypass. During surgery, regional cerebral blood flow (rCBF) was measured with a laser Doppler flowmeter and the temperature of the cortical surface was measured with an infrared thermograph. Postoperative hyperperfusion was assessed immediately after surgery based on CBF study under sedation (propofol) as >100% increase in corrected rCBF compared to preoperative values. Postoperative hyperperfusion on CBF was observed in two patients (7.4%). A significant correlation was observed between intraoperative rCBF changes and postoperative rCBF increase (Pearson's method: r=0.555, p=0.0003; simple regression: Y=1.22X+3.289, r (2)=0.308, p=0.0004). Furthermore, the rCBF changes measured by laser Doppler flowmetry were significantly greater in patients with postoperative hyperperfusion (p=0.0193) and CHS (p=0.0193). The present study suggests that intraoperative rCBF measurement using laser Doppler flowmetry may predict a risk of post-EC-IC bypass cerebral hyperperfusion in moyamoya disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
1437-2320
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
34
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
355-62; discussion 362
pubmed:meshHeading
pubmed-meshheading:21643682-Adolescent, pubmed-meshheading:21643682-Adult, pubmed-meshheading:21643682-Anastomosis, Surgical, pubmed-meshheading:21643682-Body Temperature, pubmed-meshheading:21643682-Cerebrovascular Disorders, pubmed-meshheading:21643682-Child, pubmed-meshheading:21643682-Evoked Potentials, Somatosensory, pubmed-meshheading:21643682-Female, pubmed-meshheading:21643682-Humans, pubmed-meshheading:21643682-Intraoperative Period, pubmed-meshheading:21643682-Laser-Doppler Flowmetry, pubmed-meshheading:21643682-Male, pubmed-meshheading:21643682-Middle Aged, pubmed-meshheading:21643682-Middle Cerebral Artery, pubmed-meshheading:21643682-Monitoring, Intraoperative, pubmed-meshheading:21643682-Moyamoya Disease, pubmed-meshheading:21643682-Muscle Weakness, pubmed-meshheading:21643682-Postoperative Care, pubmed-meshheading:21643682-Predictive Value of Tests, pubmed-meshheading:21643682-Temporal Arteries, pubmed-meshheading:21643682-Thermography, pubmed-meshheading:21643682-Treatment Outcome, pubmed-meshheading:21643682-Young Adult
pubmed:year
2011
pubmed:articleTitle
Usefulness of intraoperative laser Doppler flowmetry and thermography to predict a risk of postoperative hyperperfusion after superficial temporal artery-middle cerebral artery bypass for moyamoya disease.
pubmed:affiliation
Departments of Neurosurgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, Japan. tkawamata@nij.twmu.ac.jp
pubmed:publicationType
Journal Article, Case Reports