Open AccessSurgical management of complex middle cerebral artery aneurysms: An institutional review
Author(s) -
Anuj Bhide,
Yashuhiro Yamada,
Yoshihiro Kato,
Tsukasa Kawase,
Ryô Tanaka,
Kyosuke Miyatani,
Daijiro Kojima,
Ahmed Sayah
Publication year - 2020
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 2248-9614
DOI - 10.4103/ajns.ajns_5_20
Subject(s) - medicine , clipping (morphology) , aneurysm , middle cerebral artery , radiology , surgery , occlusion , endovascular coiling , anterior communicating artery , endovascular treatment , ischemia , cardiology , philosophy , linguistics
Complex middle cerebral artery (MCA) aneurysms are defined as large (≥10 mm) or giant (≥25 mm) aneurysms with M2 branches arising from the aneurysm rather than M1 segments and usually require some form of reconstruction of the bifurcation. Their management is difficult and surgery is preferred over endovascular modalities because of their peculiar angioarchitecture and association with critical branch points or perforators.