Research Article

Real-Time Evaluation of Cerebral Autoregulation Based on Near-Infrared Spectroscopy to Predict Clinical Outcome after Bypass Surgery in Moyamoya Disease

Table 1

Summary of patient characteristics and raw signals during surgery.

VariablesAll ()Infarction ()Noninfarction () value

Age (years)0.225
Male sex23 (33%)3 (30%)20 (34%)1.0
Operation time (hours)0.123
MBP (mmHg)0.329
SCO2 (%)0.077
EtCO2 (mmHg)0.329
Preoperative neurological deficit
 Duration at symptom onset (month)0.354
 TIA59 (86%)10 (100%)49 (84%)0.336
 Infarction37 (54%)5 (50%)32 (55%)1.0
 Hemorrhage14 (20%)2 (20%)12 (20%)1.0
Preoperative perfusion
 ASL (MRI)
  Decreased CBF56 (82%)8 (80%)48 (82%)0.619
 SPECT
  Basal hypoperfusion43 (63%)8 (80%)35 (60%)0.311
  Decreased vascular reserve64 (94%)10 (100%)54 (93%)1.0
PCA involvement22 (32%)1 (10%)21 (36%)0.149
Unilateral moyamoya10 (14%)4 (40%)6 (10%)0.034
mRS score
 On admission0.143
 Discharge0.036
Surgical categories
 Direct/combined bypass67 (98%)10 (100%)57 (98%)1.0
Follow-up events
 Hyperperfusion21 (30%)3 (30%)18 (31%)1.0
 ICH1 (1%)0 (0%)1 (1%)1.0
Postoperative GOS score0.011

All data are shown as the and in the table. MBP: mean blood pressure; SCO2: cerebral oxygen saturation; EtCO2: end-tidal carbon dioxide concentration; TIA: transient ischemic attack; ASL: arterial spin labeling; PCA: posterior cerebral artery; mRS: modified Rankin scale; ICH: intracranial hemorrhage; GOS: Glasgow Outcome Scale.