| Giant aneurysms of the middle cerebral artery trifurcation treated with extracranial-intracranial arterial bypass and endovascular occlusion. Report of two cases. | |
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MedLine Citation:
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PMID: 9724125 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Giant middle cerebral artery (MCA) trifurcation aneurysms that cannot be excluded directly can be treated by flow inversion achieved by creation of an extracranial-intracranial bypass distal to the aneurysm, followed by occlusion of the parent vessel proximal to the aneurysm. As opposed to surgical occlusion, endovascular occlusion avoids dissection of the aneurysm area, and the site of occlusion can be chosen according to the flow distribution demonstrated on angiography performed during test occlusions. Two patients with giant aneurysms of the MCA trifurcation benefited from flow inversion treatment. Forty-eight hours after an MCA-superficial temporal artery bypass had been created, the M1 segment was occluded by inserting a coil in the first patient and the internal carotid artery was occluded with balloons in the second patient (there was no communicating artery in the latter case). Both occlusions were performed immediately after a clinical test of occlusion tolerance. The patients were clinically intact during the postoperative course. Follow-up angiography performed 11 and 4 months, respectively, after vessel occlusion showed that the aneurysm occlusion was stable. |
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Authors:
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A Weill; C Cognard; D Levy; G Robert; J Moret |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 89 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 1998 Sep |
Date Detail:
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Created Date: 1998-09-14 Completed Date: 1998-09-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 474-8 Citation Subset: AIM; IM |
Affiliation:
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Département de Neuroradiologie Interventionnelle, Fondation Ophtalmologique Rothschild, Paris, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aneurysm, Dissecting / prevention & control Carotid Artery, Internal Cerebral Angiography Cerebral Arteries / surgery* Cerebrovascular Circulation / physiology Embolization, Therapeutic* / instrumentation, methods Follow-Up Studies Humans Intracranial Aneurysm / physiopathology, radiography, surgery*, therapy Male Temporal Arteries / surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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