Practice variability in the perioperative management of pediatric moyamoya disease in North America.

ABSTRACT:

Background

Revascularization surgery decreases the long-term risk of stroke in children with moyamoya but carries an increased risk of perioperative ischemic events. Evidence-based approaches to safe perioperative management of children with moyamoya are limited. We aimed to understand practice variability in perioperative moyamoya care.

Methods

Neurologists, neurosurgeons, and intensivists practicing in North America with expertise in perioperative pediatric moyamoya care participated in a 138-item anonymous survey focused on interdisciplinary perioperative care surrounding indirect revascularization surgery.

Results

Many perioperative care practices vary substantially between participants. Timing of resumption of antiplatelet therapy postoperatively, choice of sedat

SUBMITTER: Sun LR 

PROVIDER: S-EPMC10941270 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature