Letter to the Editor. Bypass and revascularization in young moyamoya patients

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TO THE EDITOR: We were impressed by the article from Bot and coauthors1 regarding the use of STA-MCA bypass in very young children with moyamoya (Bot GM, Burkhardt JK, Gupta N, et al: Superficial temporal artery–to–middle cerebral artery bypass in combination with indirect revascularization in moyamoya patients ≤ 3 years of age. J Neurosurg Pediatr 23:198–203, February 2019). The senior authors have demonstrated superb technical skill in achieving patent bypasses in these very young children, with procedure clamp times under 30 minutes and no significant bypass-related complications. However, we have reservations about the role

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Correspondence R. Michael Scott: michael.scott@childrens.harvard.edu.

INCLUDE WHEN CITING Published online February 8, 2019; DOI: 10.3171/2018.12.PEDS18718.

Disclosures The authors report no conflict of interest.

© AANS, except where prohibited by US copyright law.

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1

Bot GMBurkhardt JKGupta NLawton MT: Superficial temporal artery–to–middle cerebral artery bypass in combination with indirect revascularization in moyamoya patients ≤ 3 years of age. J Neurosurg Pediatr 23:1982032019

1

Yoon SBurkhardt JKLawton MT: Long-term patency in cerebral revascularization surgery: an analysis of a consecutive series of 430 bypasses. J Neurosurg [epub ahead of print August 24 2018. DOI: 10.3171/2018.3.JNS172158]

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