title: Bypasses and reconstruction for complex brain aneurysms.
abstract: Microsurgery for brain aneurysms is a current relevant technique, as advances in endovascular and stent-assisted coiling have not solved many of the difficulties inherent in the management of complex brain aneurysms. The following review highlights the importance of microsurgical bypass techniques for the management of complex cerebrovascular aneurysms and emphasizes, through two clinical cases, the technical difficulties and indications for bypass surgery. These cases demonstrate that in selected scenarios, bypass microsurgery still offers the only viable treatment for complex aneurysms.
authors.affiliation: University of Washington, Seattle, Washington.
authors.forename: Harley Brito
authors.initials: HB
authors.lastname: da Silva
authors.affiliation: Centro Médico Nacional de Occidente, IMSS, Guadalajara, Mexico.
authors.forename: Mario
authors.initials: M
authors.lastname: Messina-Lopez
authors.affiliation: University of Washington, Seattle, Washington.
authors.forename: Laligam N
authors.initials: LN
authors.lastname: Sekhar
mesh_terms: D017542:Aneurysm, Ruptured / Q000601:surgery; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008866:Microsurgery; D019635:Neurosurgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D013345:Subarachnoid Hemorrhage / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: endovascular coiling; extra-intra-cranial bypass; intracranial aneurysm; subarachnoid hemorrhage; vascular reconstruction