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Combined microsurgical and endovascular treatment of a giant left middle cerebral artery aneurysm.

Publication ,  Journal Article
Zomorodi, A; Bulsara, KR; Friedman, AH; Alexander, MJ
Published in: J Neurointerv Surg
September 2010

Giant fusiform aneurysms of the middle cerebral artery (MCA) bifurcation pose significant treatment challenges. A giant fusiform aneurysm of the left MCA in a pediatric patient, which persisted despite Hunterian ligation of the M1 and double barrel superficial temporal artery (STA) to M2 bypasses, is reported. The aneurysm was trapped by endovascular coiling of the feeding M2 trunk through the STA anastamosis. Hunterian ligation combined with extracranial-intracranial bypass is an effective technique for treating giant fusiform aneurysms of the MCA bifurcation for patients who fail balloon test occlusions. However, in certain cases, flow reversal may not eliminate the aneurysm and continued aneurysm filling may occur through retrograde filling from the bypass recipient vessels. In these cases, endovascular trapping of the aneurysm may be undertaken through the bypass graft. The feasibility of this management scheme is demonstrated.

Duke Scholars

Published In

J Neurointerv Surg

DOI

EISSN

1759-8486

Publication Date

September 2010

Volume

2

Issue

3

Start / End Page

213 / 216

Location

England

Related Subject Headings

  • Middle Cerebral Artery
  • Intracranial Aneurysm
  • Humans
  • Embolization, Therapeutic
  • Child
  • Cerebral Revascularization
  • Cerebral Angiography
  • Catheterization, Peripheral
  • 3209 Neurosciences
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Zomorodi, A., Bulsara, K. R., Friedman, A. H., & Alexander, M. J. (2010). Combined microsurgical and endovascular treatment of a giant left middle cerebral artery aneurysm. J Neurointerv Surg, 2(3), 213–216. https://doi.org/10.1136/jnis.2009.001883
Zomorodi, Ali, Ketan R. Bulsara, Allan H. Friedman, and Michael J. Alexander. “Combined microsurgical and endovascular treatment of a giant left middle cerebral artery aneurysm.J Neurointerv Surg 2, no. 3 (September 2010): 213–16. https://doi.org/10.1136/jnis.2009.001883.
Zomorodi A, Bulsara KR, Friedman AH, Alexander MJ. Combined microsurgical and endovascular treatment of a giant left middle cerebral artery aneurysm. J Neurointerv Surg. 2010 Sep;2(3):213–6.
Zomorodi, Ali, et al. “Combined microsurgical and endovascular treatment of a giant left middle cerebral artery aneurysm.J Neurointerv Surg, vol. 2, no. 3, Sept. 2010, pp. 213–16. Pubmed, doi:10.1136/jnis.2009.001883.
Zomorodi A, Bulsara KR, Friedman AH, Alexander MJ. Combined microsurgical and endovascular treatment of a giant left middle cerebral artery aneurysm. J Neurointerv Surg. 2010 Sep;2(3):213–216.

Published In

J Neurointerv Surg

DOI

EISSN

1759-8486

Publication Date

September 2010

Volume

2

Issue

3

Start / End Page

213 / 216

Location

England

Related Subject Headings

  • Middle Cerebral Artery
  • Intracranial Aneurysm
  • Humans
  • Embolization, Therapeutic
  • Child
  • Cerebral Revascularization
  • Cerebral Angiography
  • Catheterization, Peripheral
  • 3209 Neurosciences
  • 3202 Clinical sciences