Natural history of endogenous collateral vessels after revascularization surgery in patients with moyamoya angiopathy
This study represents the first longitudinal angiographic characterization of endogenous collateral vessels in Caucasian MMA patients after combined bypass surgery. Collaterals within the region of the anterior circulation supplied by the bypass showed a consistent reduction over time. The development of collaterals depending on the presence and location of the bypass but not its quality indicates the individual endogenous need of moyamoya hemispheres as the determining factor and highlights the enduring plasticity and dynamic nature of the MMA collateral system over time.
Authors
- Robert Mertens (ORCID: https://orcid.org/0000-0002-9442-4140)
- Peter Vajkoczy (ORCID: https://orcid.org/0000-0003-4350-392X)
- Lars Wessels (ORCID: https://orcid.org/0000-0001-8056-9659)
- Max Stahnke
- K. Lucia (ORCID: https://orcid.org/0000-0002-6366-9233)
- Lucius S. Fekonja (ORCID: https://orcid.org/0000-0003-1973-4410)
- Güliz Acker (ORCID: https://orcid.org/0000-0002-8946-6426)
- Katharina Kersting
- Erin Dirk Sprünken (ORCID: https://orcid.org/0000-0002-9422-7788)
- David Wasilewski
- Lukas Mödl (ORCID: https://orcid.org/0000-0001-5937-3563)
Institutions
- Goethe University Frankfurt (DE)
- Humboldt-Universität zu Berlin (DE)
- Zimmer Biomet (Germany) (DE)
- University Hospital Frankfurt (DE)
- Berlin Institute of Health at Charité - Universitätsmedizin Berlin (DE)
- Cluster of Excellence "Matters of Activity. Image Space Material" (DE)
- Freie Universität Berlin (DE)
- Charité - Universitätsmedizin Berlin (DE)
Publication Details
- Journal
- Journal of neurosurgery
- Published
- 2025-03-14
- DOI
- https://doi.org/10.3171/2024.10.jns241589
- Primary Topic
- Moyamoya disease diagnosis and treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00