Double extra-intracranial microvascular anastomoses in deconstructive surgeries for giant aneurysms of internal carotid and middle cerebral arteries
Double barrel extracranial to intracranial bypass between superficial temporal artery and cortical M4 branches of MCA allows for sufficient revascularization and lower risks of ischemic complications following subsequent ICA occlusion for giant aneurysm. A personalized approach to choice of acceptor arteries taking into account localization of aneurysm and natural collateral circulation is necessary to achieve good functional outcomes.
Authors
- D Yu Usachev (ORCID: https://orcid.org/0000-0002-9811-9442)
- Anna Shulgina (ORCID: https://orcid.org/0000-0002-2887-1583)
- Vasily A. Lukshin (ORCID: https://orcid.org/0000-0001-5787-484X)
- N G Kobyakov (ORCID: https://orcid.org/0000-0001-5975-7188)
- M.B. Kholmatov (ORCID: https://orcid.org/0000-0001-9916-722X)
- M.V. Kondakov
Institutions
- Russian Medical Academy of Continuous Professional Education (RU)
- Botkin Hospital (RU)
- Burdenko Neurosurgery Institute (RU)
Publication Details
- Journal
- Burdenko s Journal of Neurosurgery
- Published
- 2025-10-16
- DOI
- https://doi.org/10.17116/neiro20258905116
- Primary Topic
- Intracranial Aneurysms: Treatment and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00