Middle cerebral artery aneurysm endovascular and surgical therapies: comprehensive literature review and local experience.

Autor:	Zaidat OO; Department of Neurology, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA; Department of Radiology, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA; Department of Neurosurgery, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA. Electronic address: szaidat@mcw.edu., Castonguay AC; Department of Neurology, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA., Teleb MS; Department of Neurology, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA., Asif K; Department of Neurology, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA., Gheith A; Department of Neurology, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA., Southwood C; Department of Neurology, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA., Pollock G; Department of Neurology, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA; Department of Neurosurgery, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA., Lynch JR; Department of Neurology, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA; Department of Radiology, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA; Department of Neurosurgery, SNN (Stroke, Neurocritical Care, and Neurointerventional) Research Center, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
Jazyk:	angličtina
Zdroj:	Neurosurgery clinics of North America [Neurosurg Clin N Am] 2014 Jul; Vol. 25 (3), pp. 455-69. Date of Electronic Publication: 2014 Jun 03.
DOI:	10.1016/j.nec.2014.04.005
Abstrakt:	The middle cerebral artery is a common location for cerebral aneurysms and is associated with a lower risk of rupture than aneurysms located in the anterior or posterior communicating arteries. No evidence supports the superiority of clipping over coiling to treat middle cerebral artery aneurysm (MCAA) or vice versa. The feasibility of treating the MCAA with endovascular therapy as the first choice of treatment in cohorts of nonselected aneurysms exceeds 90%. A randomized clinical trial comparing the 2 approaches in nonselected cases with long-term follow-up will shed light on which patients may benefit from one approach over another. (Copyright © 2014 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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