Strategy for omental transplantation in moyamoya disease

: Intracranial omental transplantation is sometimes indicated for treatment of ischemia in the territory both of the anterior cerebral artery and of the posterior cerebral artery in certain cases with moyamoya disease. The surgical process for omental transplantation is thought to be complicated and time-consuming. For this reason some technical improvements for intracranial omental transplantation are presented in this report. 1) Technique for harvest of omentum. 2) A gastroepiploic artery is anastomosed to a scalp artery in an end-to-side fashion, or in an end-to-end fashion. 3) A gastroepiploic vein is anastomosed to a cortical vein in an end-to-side fashion.