title: Endovascular and surgical options for ruptured middle cerebral artery aneurysms: review of the literature.
abstract: Middle cerebral artery (MCA) aneurysms are common entities, and those of the bifurcation are the most frequently encountered sublocation of MCA aneurysm. MCA bifurcation (MBIF) aneurysms commonly present with subarachnoid hemorrhage (SAH), are devastating, and are often lethal. At the present time, the treatment of ruptured MBIF aneurysms entails either endovascular or open microneurosurgical methods to permanently secure the aneurysm(s). The purpose of this report is to review the current available data regarding the relative superiority of endovascular versus open microneurosurgical clipping for the treatment of ruptured middle cerebral artery bifurcation aneurysms.
authors.affiliation: Division of Neurosurgery, University of California, San Diego, 200 West Arbor Drive, San Diego, CA 92103, USA.
authors.forename: David R
authors.initials: DR
authors.lastname: Santiago-Dieppa
authors.affiliation: Division of Neurosurgery, University of California, San Diego, 200 West Arbor Drive, San Diego, CA 92103, USA.
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Pannell
authors.affiliation: Division of Neurosurgery, University of California, San Diego, 200 West Arbor Drive, San Diego, CA 92103, USA.
authors.forename: Alexander A
authors.initials: AA
authors.lastname: Khalessi
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