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KMID : 1001920100480030259
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Journal of Korean Neurosurgical Society
2010 Volume.48 No. 3 p.259 ~ p.262
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Successful Obliteration of Unclippable Large and Giant Middle Cerebral Artery Aneurysms Following Extracranial-Intracranial Bypass and Distal Clip Application
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Yoon Won-Ki
Jung Young-Jin
Ahn Jae-Sung
Kwun Byung-Duk
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Abstract
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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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KEYWORD
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Aneurysm, Bypass, Clip, Middle cerebral artery
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