Recurrent Giant Middle Cerebral Artery Aneurysm: Reclipping With a Second Radial Artery Bypass: 2-Dimensional Operative Video

2018 ◽  
Vol 15 (5) ◽  
pp. 602-602
Author(s):  
Rakshith Shetty ◽  
Laligam N Sekhar
Keyword(s):  
Middle Cerebral Artery ◽  
Radial Artery ◽  
Cerebral Artery ◽  
Artery Bypass ◽  
Artery Aneurysm ◽  
Middle Cerebral Artery Aneurysm ◽  
Cerebral Artery Aneurysm

scholarly journals Sequential approach of internal maxillary-to-middle cerebral artery bypass and endovascular occlusion for giant middle cerebral artery aneurysm: a case report

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Andrey Vladimirovich Sergeev ◽  
Alexander Viktorovich Savello ◽  
Vladislav Urievich Cherebillo ◽  
Aigazi Islamovich Kiskaev ◽  
Fatima Chemurzieva
Keyword(s):  
Middle Cerebral Artery ◽  
Operating Room ◽  
Cerebral Artery ◽  
Artery Bypass ◽  
Artery Aneurysm ◽  
Combined Approach ◽  
Middle Cerebral Artery Aneurysm ◽  
Hybrid Operating Room ◽  
Sequential Approach ◽  
Cerebral Artery Aneurysm

Abstract Background The combined approach to complex brain МСА aneurysm seems to be generally considered viable. Although it is fairly common, the combinations of modalities, which are suggested in different case reports, vary significantly. This case discusses a sequential approach of reconstructive microsurgery with internal maxillary-to-middle cerebral artery bypass followed by the balloon test occlusion and endovascular embolization of the aneurysm and the MCA. The combined approach together with use of maxillary artery helped minimize the intraoperative and postoperative complications. Case presentation A 62-year-old female with rare episodes of headache and depression revealed giant middle cerebral artery aneurysm. The patient underwent a combined operation in a hybrid operating room with no serious neurologic deficit after surgery. Conclusions Multimodality management in a hybrid operating room should be considered in case of complex fusiform aneurysm of MCA, which is associated with high risks of clipping. Thus, the sequential procedures will improve patient outcomes in treatment of complex МСА aneurysms.

Reflow into a Thrombosed Giant Middle Cerebral Artery Aneurysm after Extracranial-Intracranial Bypass

Neurosurgery ◽  
1984 ◽  
Vol 15 (1) ◽  
pp. 120-124 ◽  
Author(s):  
J. Robbins ◽  
J. M. Fein ◽  
G. Lantos ◽  
N. Hooshangi
Keyword(s):  
Blood Flow ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Artery Aneurysm ◽  
Temporal Artery ◽  
Clot Lysis ◽  
Middle Cerebral Artery Aneurysm ◽  
Cerebral Artery Aneurysm

Abstract This report graphically illustrates the consequences of flow augmentation through extracranial-intracranial bypass grafts. Propagation of clot from a thrombosed middle cerebral artery aneurysm into the middle cerebral artery produced transient ischemic attacks. Superficial temporal artery-middle cerebral artery bypass was performed to augment cerebral blood flow. Postoperative angiography demonstrated filling of the aneurysm through improved collateral channels. The role of bypass operation in the presence of an aneurysm and its contribution to collateral blood flow and clot lysis are discussed.

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