Staged ECA-RA-MCA bypass and interventional trapping: application of hybrid vascular reconstruction of ruptured complex tandem aneurysms - 16/11/24
Doi : 10.1016/j.neuchi.2024.101615
Peixi Liu a, b, c, d, e, 1, Qingzhu An a, b, c, d, e, 1, Yuan Shi a, b, c, d, e, Wei Zhu a, b, c, d, e, ⁎ 
a Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China
b National Center for Neurological Disorders, Shanghai, 200040, China
c Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, 200040, China
d Neurosurgical Institute of Fudan University, Shanghai, 200040, China
e Shanghai Clinical Medical Center of Neurosurgery, Shanghai, 200040, China
⁎Corresponding author.
Highlights |
• | The report presents a staged surgical approach for a rare case of a ruptured complex tandem aneurysm involving both the ICA and MCA-M1, illustrating the need for individualized treatment strategies. |
• | An innovative use of bypass surgery utilizing the radial artery as a graft for EC-RA-MCA blood flow reconstruction was employed to manage blood flow and occlude the ICA. |
• | The treatment was strategically divided into stages, incorporating bypass surgery and potential aneurysm coiling, addressing the limitations posed by antiplatelet therapy. |
• | This case underscores the importance of a comprehensive, integrated therapeutic approach, as a single surgical strategy proved inadequate for managing the complex aneurysms. |
Plan
© 2024
Elsevier Masson SAS. Tous droits réservés.
Vol 71 - N° 1
Article 101615- janvier 2025 Retour au numéro
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