title: Clipping and STA-MCA bypass for unruptured AcomA aneurysm associated with unilateral MCA occlusion.
abstract: The authors show a surgical technique of clipping in conjunction with superficial temporal artery (STA)-middle cerebral artery (MCA) bypass to treat unruptured anterior communicating artery (AcomA) aneurysm associated with unilateral MCA occlusion. First, through MCA occlusion side, fronto-temporal craniotomy, extra-dural drilling of lesser sphenoid wing, and followed by wide exposure of Sylvian fissure, STA-MCA bypass was performed. Then, through trans-Sylvian, fronto-basal, and lateral trajectory, interhemispheric fissure was dissected from the base, which enabled good exposure and clipping of high positioned AcomA aneurysm. The video can be found here: http://youtu.be/GWItnRSs3m4 .
authors.affiliation: Department of Neurosurgery, Fuji Brain Institute and Hospital, Shizuoka, Japan.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Inoue
authors.forename: Hiroki
authors.initials: H
authors.lastname: Yoshida
authors.forename: Akira
authors.initials: A
authors.lastname: Tamura
authors.forename: Isamu
authors.initials: I
authors.lastname: Saito
mesh_terms: D000368:Aged; D002533:Cerebral Angiography; D002548:Cerebral Revascularization / Q000379:methods*; D003399:Craniotomy; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000150:complications / Q000601:surgery*; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male
keywords: EC–IC bypass; aneurysm; anterior communicating artery; middle cerebral artery