Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Successful Obliteration of Unclippable Large and Giant Middle Cerebral Artery Aneurysms Following Extracranial-Intracranial Bypass and Distal Clip Application

  • Yoon, Won-Ki (Department of Neurosurgery, St. Paul's Hospital, The Catholic University of Korea College of Medicine) ;
  • Jung, Young-Jin (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ahn, Jae-Sung (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kwun, Byung-Duk (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2010.05.19
  • Accepted : 2010.09.13
  • Published : 2010.09.28
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Abstract

Large to giant middle cerebral artery aneurysm is a challenging disease, especially when incorporating important perforating arteries. Surgical risk increases by perforator infarction and anatomical complexity. In this clinical setting, extensive consideration of surgical options is needed. The two cases described here were unruptured and had rather stable wall. Because of their large and giant size, hardness and incorporated arteries, it was not affordable to isolate them by means of clipping or trapping. The procedure as the alternative to conventional treatment modalities, extracranial-intracranial bypass followed by clipping of only the efferent artery successfully treated the aneurysms.

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References

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  2. Flow Alteration Therapy for Ruptured Vertebral Artery Dissecting Aneurysms Involving the Posterior Inferior Cerebellar Artery vol.58, pp.8, 2010, https://doi.org/10.2176/nmc.oa.2018-0076