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Clipping of a persistent middle cerebral artery aneurysm after previous flow diverter placement: an illustrative case and review of the literature

Jorn Van Der Veken*, Katrien De Keukeleire

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Flow diverter (FD) is increasingly used in the management of wide necked cerebral aneurysms. Despite a reported lower efficacy in middle cerebral artery (MCA) aneurysms, they are still being utilised. Microsurgery is best considered as an index treatment, but can also be a safe and effective treatment when encountering a persistent MCA aneurysm after prior FD. As there is a paucity in literature and more cases of failed FD are expected to appear, we want to add our experience to the existing literature. The microsurgical management of a persistent MCA bifurcation aneurysm, 3 years after a p48 MW HPC Flow Diverter (phenox GmbH, Bochum Germany) insertion is reported and the relevant literature discussed.

Original languageEnglish
Pages (from-to)338-343
Number of pages6
JournalJournal of Cerebrovascular and Endovascular Neurosurgery
Volume26
Issue number3
DOIs
Publication statusPublished - 1 Sept 2024
Externally publishedYes

Bibliographical note

Copyright 2024 by KSCVS and KoNES. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Endovascular aneurysm repair
  • Flow diverter
  • Intracranial aneurysm
  • Microsurgery
  • Neurosurgical procedures

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