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- Title
Surgical repair of torn base of ruptured middle cerebral artery trifurcation aneurysm.
- Authors
Zhang, Rui; Muhammad, Sajjad
- Abstract
Background: Treating complex middle cerebral artery (MCA) trifurcation aneurysms requires a delicate balance between achieving aneurysm obliteration and preserving vascular integrity. Various cerebral revascularization techniques, including bypass, and clip reconstruction are considered individually or in combination. Methods: This case report outlines a successful repair of a ruptured neck and base of MCA trifurcation aneurysm using a suturing-clip reconstruction technique. Temporary aneurysm trapping was implemented, with maintained elevated blood pressure to ensure collateral perfusion during repair of ruptured base and neck of MCA aneurysm. Conclusion: The suturing-clip reconstruction exhibited long-term radiological stability, emerging as a valuable alternative for managing challenging MCA trifurcation aneurysms.
- Subjects
CEREBRAL arteries; ANEURYSMS; INTRACRANIAL aneurysms; CEREBRAL revascularization; BLOOD pressure; SUTURING; SUBARACHNOID hemorrhage; BLOOD vessel prosthesis
- Publication
Acta Neurochirurgica, 2024, Vol 166, Issue 1, p1
- ISSN
0001-6268
- Publication type
Article
- DOI
10.1007/s00701-024-06016-y