ArticleActa neurochirurgica2026
One-stage hybrid treatment of a ruptured M1 fusiform aneurysm with double-barrel STA-MCA bypass and endovascular embolization.
Article in Acta neurochirurgica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe management of ruptured, giant, fusiform aneurysms of the M1 segment of the middle cerebral artery (MCA) presents a significant therapeutic challenge. This difficulty is primarily due to their morphology, which lacks a distinct, clippable neck, and the involvement of critical lenticulostriate perforators.
methodWe describe a one-stage hybrid strategy that combines surgical revascularization with endovascular embolization. The procedure begins with a double-barrel superficial temporal artery (STA) to MCA bypass for flow replacement, followed by dual-microcatheter coil embolization of the aneurysm and its daughter sac, culminating in parent artery occlusion.
conclusionFor ruptured giant M1 fusiform aneurysms with challenging proximal surgical exposure, a hybrid approach involving revascularization and subsequent parent artery occlusion represents a safe and effective treatment modality. The larger caliber of the STA in adult males allows for high-flow revascularization through a double-barrel bypass.
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