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KMID : 0890520010030020154
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Korean Journal of Cerebrovascular Disease
2001 Volume.3 No. 2 p.154 ~ p.158
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Multiple Clipping Technique of Wide-Necked Middle Cerebral Artery Aneurysms
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Abstract
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Objective: Although currently only a few middle cerebral artery aneurysms (MCAAs) are inoperable, they still present problems as compared with other aneurysm in the anterior circulation. MCAAs are less suitable for endovascular surgery,
owing to
anatomic reasons and frequent association with expanding hematomas, neurosurgeons shold focus on the safe treatment of these lesions. Several methods are recently available for the clipping of wide-necked MCAAs. The author emphasizes the techique
of
multiple clipping in the present study. Methods: This article contains 5 patients with wide-necked MCAAs who underwent multiple clipping technique with facing and/or tandem fashion, in which the tips of the clip blades are placed in
ipposite
or
parallel directions, respectively. Results: Aneurysms were successfully clipped with preservation of the parent vessels. There were four good results and one death directly related to the initial brain injury.
Conclusion: On the basis of of the configurations of domes and their neck, wide-necked MCAAs can be clipped successfully using this multiple clipping technique with facing and tandem fashion.
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KEYWORD
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