Abstract
Hemodynamic differences are significant in giant aneurysms located in different middle cerebral artery (MCA) segments, and the treatment strategy should be adjusted accordingly. M1 aneurysms that involve important perforating branches such as the lenticulostriate arteries cannot be directly clipped. A moderate- (superficial temporal artery-radial artery-MCA, STA-RA-MCA) or high-flow (external carotid artery-radial artery-MCA, ECA-RA-MCA) extracranial-intracranial (EC-IC) bypass can be combined with aneurysm trapping as an efficient treatment strategy.
Here, we present a case of a giant MCA M1 dissecting aneurysm that was treated by STA-RA-MCA bypass combined with aneurysm trapping.
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Li, P., Chen, L., Zhu, W., Mao, Y. (2021). Superficial Temporal Artery-Radial Artery-Middle Cerebral Artery Bypass. In: Mao, Y., Zhu, W., Song, J. (eds) Surgical Atlas of Cerebral Revascularization. Springer, Singapore. https://doi.org/10.1007/978-981-16-0374-7_2
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DOI: https://doi.org/10.1007/978-981-16-0374-7_2
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