{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:20:32Z","timestamp":1753881632656,"version":"3.41.2"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["SVIN"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Revascularization for both anterior cerebral artery (ACA) and middle cerebral artery (MCA) territories in patients with moyamoya disease is often performed in a single operation. The influence of craniotomy type on postoperative outcomes has not been investigated. This study aimed to clarify the effects of craniotomy type on acute postoperative outcomes after combined revascularization by comparing 2\u2010piece, and large 1\u2010piece craniotomy approaches.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods<\/jats:title>\n            <jats:p xml:lang=\"en\">This retrospective study included 337 consecutive combined revascularizations of the ACA and MCA territories in patients with moyamoya disease. Surgeries were classified into 2\u2010piece and large 1\u2010piece craniotomy groups. For indirect bypass, the following methods were used: (1) large 1\u2010piece craniotomy and encephalo\u2010myo\u2010galeo\u2010periosteal\u2010synangiosis for the MCA and ACA territories; (2) 2\u2010piece craniotomy and encephalo\u2010myo\u2010synangiosis for the MCA territory and encephalo\u2010periosteal\u2010synangiosis for the ACA territory. Acute postoperative outcomes were compared between the groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Two\u2010piece and large 1\u2010piece craniotomies were performed in 230 and 107 patients, respectively. The incidence of radiological and symptomatic infarction tended to be lower in the 2\u2010piece craniotomy group than that in the large 1\u2010piece craniotomy group (3.9% versus 11.2%;\n              <jats:italic>P<\/jats:italic>\n              =0.014, and 2.6% versus 6.5%;\n              <jats:italic>P<\/jats:italic>\n              =0.12, respectively). Logistic regression adjusted for potential confounders further explained the relationship between craniotomy type and radiological infarction (large 1\u2010piece\/2\u2010piece craniotomy: odds ratio, 3.1; 95% CI, 1.2\u20137.6;\n              <jats:italic>P<\/jats:italic>\n              =0.015).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p xml:lang=\"en\">In combined revascularization of the ACA and MCA territories in moyamoya disease, 2\u2010piece craniotomy may reduce the risk of postoperative cerebral infarction.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/svin.122.000759","type":"journal-article","created":{"date-parts":[[2023,5,7]],"date-time":"2023-05-07T13:21:16Z","timestamp":1683465676000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Two\u2010Piece Craniotomy Is Associated With Improved Postoperative Outcomes of Combined Revascularization in Patients With Moyamoya Disease"],"prefix":"10.1161","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7899-5149","authenticated-orcid":false,"given":"Fumiaki","family":"Kanamori","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Nagoya University Graduate School of Medicine Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syuntaro","family":"Takasu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital Nagoya Japan"},{"name":"Department of Neurosurgery Japan Community Health Care Organization Chukyo Hospital Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norikazu","family":"Hatano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Kawashima Hospital Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshio","family":"Araki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukio","family":"Seki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuta","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Nagoya University Graduate School of Medicine Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1969.00480090076012"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(08)70240-0"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.113.004386"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3171\/foc.1998.5.5.8"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000001201"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0804622"},{"key":"e_1_3_2_8_2","doi-asserted-by":"crossref","first-page":"909","DOI":"10.3171\/2019.12.JNS192938","article-title":"Late (5\u201320 years) outcomes after STA\u2010MCA anastomosis and encephalo\u2010duro\u2010myo\u2010arterio\u2010pericranial synangiosis in patients with moyamoya disease","volume":"134","author":"Kuroda S","year":"2020","unstructured":"Kuroda S, Nakayama N, Yamamoto S, Kashiwazaki D, Uchino H, Saito H, Hori E, Akioka N, Kuwayama N, Houkin K. 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