From: Risk factors for postoperative ischemic complications in pediatric moyamoya disease
Characteristics | Postop Ischemic Events | P value | OR (95% CI) | ||
---|---|---|---|---|---|
Present (n = 31) | Absent (n = 502) | Uni | Multi | ||
Mean age at op (yrs) | 10.8 ± 4.0 | 9.5 ± 3.7 | 0.074 | 0.032 | 1.129 (1.011–1.260) |
Sex, female/male ratio | 17/14 | 255/247 | 0.662 | 0.679 | 1.174 (0.550–2.504) |
Ischemic presentation | 19 (61.3) | 347 (69.1) | 0.707 | ||
Admission mRS score | |||||
Mean | 1.4 ± 0.6 | 1.4 ± 0.6 | 0.789 | ||
0–1 | 20 (64.5) | 351 (30.1) | |||
2–5 | 11 (35.5) | 151 (69.9) | |||
Past medical history | |||||
Family history | 2 (6.5) | 36 (7.2) | 0.880 | ||
Hypertension | 1 (3.2) | 6 (1.2) | 0.355 | ||
Thyroid disease | 1 (3.2) | 3 (0.6) | 0.143 | ||
Hyperlipidemia | 0 (0.0) | 3 (0.6) | 0.999 | ||
Smoking & Alcohol use | 0 (0.0) | 2 (0.4) | 0.999 | ||
Diabetes | 0 (0.0) | 1 (0.2) | 1.000 | ||
Suzuki stagea | |||||
Mean | 3.0 ± 0.9 | 2.9 ± 0.9 | 0.522 | 0.796 | 1.061 (0.677–1.662) |
1 | 0 (0.0) | 12 (2.6) | |||
2 | 10 (33.3) | 144 (31.0) | |||
3 | 11 (36.7) | 205 (44.1) | |||
4 | 8 (26.7) | 88 (18.9) | |||
5 | 1 (3.3) | 16 (3.4) | |||
PCA involvementa | 11 (36.7) | 105 (22.6) | 0.082 | 0.043 | 2.587 (1.030–6.496) |
Collateral circulationa | |||||
Mean | 6.6 ± 2.1 | 7.0 ± 1.8 | 0.276 | ||
Grade I (0–4) | 6 (20.0) | 48 (10.3) | |||
Grade II (5–8) | 16 (53.3) | 326 (70.1) | |||
Grade III (9–12) | 8 (26.7) | 91 (19.6) | |||
ECA collaterala | |||||
STA collateral | 0 (0.0) | 4 (0.9) | 0.999 | ||
MMA collateral | 11 (36.7) | 186 (40.0) | 0.718 | 0.154 | 0.533 (0.224–1.267) |
OA collateral | 3 (10.0) | 26 (5.6) | 0.326 | 0.659 | 1.365 (0.343–5.433) |
Surgical modalities | |||||
Indirect bypass | 26 (83.9) | 421 (83.9) | 0.942 | 0.739 | 1.435 (0.171–12.013) |
Direct bypass | 4 (12.9) | 66 (13.1) | 0.934 | 0.985 | 0.979 (0.099–9.718) |
Combined bypass | 1 (3.2) | 15 (3.0) |