Angioplasty and stenting of adult onset Moya-moya disease

© 2018 Moya moya is a disease that typically affects children and is treated with extra-cranial to intracranial bypass in suitable patients. We present an adult 28-year-old patient with Moya-moya disease who had a stepwise progression of the disease and was treated with angioplasty and stenting of the stenosis bilaterally. This novel treatment method allowed her posterior circulation sufficient time to collateralize the areas in the anterior circulation which had a deficient blood supply. After the procedure, the patient has been asymptomatic for the last 5 years despite developing proximal anterior circulation occlusions bilaterally. This is the first description of angioplasty and stenting in Moya-moya disease. Although this strategy does not treat the underlying cause, it is potentially effective temporizing measure that could allow the brain to develop alternative blood supply or allow a bypass operation time to mature in an urgent setting.

Jaar van publicatie:2019