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Direct Versus Indirect Bypass in Early-Stage Moyamoya (Suzuki I-III): A Propensity Score-Weighted Study - PubMed

3 days ago
  • #Propensity score weighting
  • #Moyamoya angiopathy
  • #Bypass surgery
  • No significant differences in outcomes between direct and indirect bypass for early-stage moyamoya (Suzuki I-III).
  • Study included 208 hemispheres with similar baseline demographics, using propensity score weighting for analysis.
  • Unadjusted and adjusted analyses showed no differences in perioperative stroke, complications, or follow-up stroke.
  • Technique selection should be based on individual anatomy, hemodynamics, and center expertise.
  • Prospective, stage-stratified studies with standardized endpoints are needed for further evidence.