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Journal of Pediatric Neuroradiology 2014; 03(01): 039-048
DOI: 10.3233/PNR-14085
Review Article
Georg Thieme Verlag KG Stuttgart – New York

Role of cerebral angiography and review of endovascular treatment options in moyamoya disease and syndrome

Tanja Schneider
a   Division of Neuroradiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
,
Emily Wyse
b   Division of Interventional Neuroradiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
,
Doris Lin
a   Division of Neuroradiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
,
Monica S. Pearl
b   Division of Interventional Neuroradiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
c   Interventional Neuroradiology, Children’s National Medical Center, Washington, D.C., USA
› Author Affiliations
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Publication History

14 November 2013

06 February 2014

Publication Date:
29 July 2015 (online)

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Abstract

Moyamoya is characterized by stenosis or occlusion of the terminal internal carotid artery and the formation of a compensatory abnormal vascular network. Cerebral angiography plays an essential role for the definitive diagnosis and surgical treatment planning of moyamoya disease and syndrome; however, there has been little documented experience with endovascular techniques, i.e., angioplasty and intracranial stenting, in this patient population. Initial reports suggest that the endovascular treatments can be performed safely, however, their long-term durability and role in acutely symptomatic and asymptomatic patients with moyamoya disease and syndrome is yet to be determined.

Keywords

cerebral angiography - angioplasty - moyamoya