Morphologic Assessment of Middle Cerebral Artery Aneurysms for Endovascular Treatment

A Novel Craniotomy Simulator Provides a Validated Method to Enhance Education in the Management of Traumatic Brain Injury

“…46,47 In our study, the neck size in ruptured MCA aneurysms seemed larger than in unruptured aneurysms (mean, 5 mm vs 3 mm), but it was not a significant risk factor for rupture. The neck/fundus ratio was a little higher in M1 and Mdist aneurysms (0.87 and 0.89, respectively) than in main Mbif aneurysms (0.79).…”

Endovascular Treatment of Wide-Neck Middle Cerebral Artery Aneurysms with Stents: A Review of 16 Cases

“…One of the most important arguments against endovascular treatment is that MCA aneurysms are more likely to have wide necks. 15 However, with the rapid development of interventional devices and technologies, various endovascular techniques have been attempted to treat MCA aneurysms with complex morphologic features, including single-or doubleballoon remodeling, 5,16 coiling simultaneously with double microcatheters, 17 TriSpan (Boston Scientific) neck-bridgedevice-assisted embolization, 18 and stent-assisted embolization. [9][10][11][12] Among these techniques, self-expanding intracranial stents look the most promising because of their extensive use in MCA stenosis and their effectiveness demonstrated by 4 case reports.…”

Evolving role of endovascular treatment for MCA bifurcation aneurysms: case series of 184 aneurysms and review of the literature

“…These aneurysms frequently tend to incorporate one or both M2 segments, may have branch vessels arising from the side of the aneurysm dome or neck of the aneurysm, and are often wide-necked lesions. 1 Additionally, due to small size of M2 segments, they can potentially be more difficult to stent or coil with balloon assistance.…”