{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T15:18:07Z","timestamp":1761664687097,"version":"3.37.3"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T00:00:00Z","timestamp":1711324800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T00:00:00Z","timestamp":1711324800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004543","name":"China Scholarship Council","doi-asserted-by":"publisher","award":["202108130055"],"award-info":[{"award-number":["202108130055"]}],"id":[{"id":"10.13039\/501100004543","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Universit\u00e4tsklinikum D\u00fcsseldorf. Anstalt \u00f6ffentlichen Rechts"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Treating complex middle cerebral artery (MCA) trifurcation aneurysms requires a delicate balance between achieving aneurysm obliteration and preserving vascular integrity. Various cerebral revascularization techniques, including bypass, and clip reconstruction are considered individually or in combination.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This case report outlines a successful repair of a ruptured neck and base of MCA trifurcation aneurysm using a suturing-clip reconstruction technique. Temporary aneurysm trapping was implemented, with maintained elevated blood pressure to ensure collateral perfusion during repair of ruptured base and neck of MCA aneurysm.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The suturing-clip reconstruction exhibited long-term radiological stability, emerging as a valuable alternative for managing challenging MCA trifurcation aneurysms.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00701-024-06016-y","type":"journal-article","created":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T00:13:30Z","timestamp":1711325610000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical repair of torn base of ruptured middle cerebral artery trifurcation aneurysm"],"prefix":"10.1007","volume":"166","author":[{"given":"Rui","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sajjad","family":"Muhammad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,25]]},"reference":[{"issue":"4","key":"6016_CR9","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1016\/S1474-4422(14)70015-8","volume":"13","author":"RD Brown Jr","year":"2014","unstructured":"Brown RD Jr, Broderick JP (2014) Unruptured intracranial aneurysms: epidemiology, natural history, management options, and familial screening. Lancet Neurol 13(4):393\u2013404","journal-title":"Lancet Neurol"},{"issue":"1","key":"6016_CR2","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1227\/01.neu.0000429842.61213.d5","volume":"73","author":"A Elsharkawy","year":"2013","unstructured":"Elsharkawy A et al (2013) A new, more accurate classification of middle cerebral artery aneurysms: computed tomography angiographic study of 1,009 consecutive cases with 1,309 middle cerebral artery aneurysms. Neurosurgery 73(1):94\u2013102","journal-title":"Neurosurgery"},{"issue":"1","key":"6016_CR3","doi-asserted-by":"publisher","first-page":"127","DOI":"10.3109\/02688697.2011.641619","volume":"26","author":"S Joshi","year":"2012","unstructured":"Joshi S, Choudhari KA (2012) Role of temporary clipping in perforator damage during middle cerebral aneurysm surgery. Br J Neurosurg 26(1):127\u20138","journal-title":"Br J Neurosurg"},{"issue":"4","key":"6016_CR5","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1016\/j.jocn.2012.02.054","volume":"20","author":"KH Kim","year":"2013","unstructured":"Kim KH et al (2013) Endovascular coiling of middle cerebral artery aneurysms as an alternative to surgical clipping. J Clin Neurosci 20(4):520\u2013522","journal-title":"J Clin Neurosci"},{"issue":"6","key":"6016_CR1","doi-asserted-by":"publisher","first-page":"1924","DOI":"10.1161\/STROKEAHA.106.481234","volume":"38","author":"H Meng","year":"2007","unstructured":"Meng H et al (2007) Complex hemodynamics at the apex of an arterial bifurcation induces vascular remodeling resembling cerebral aneurysm initiation. Stroke 38(6):1924\u20131931","journal-title":"Stroke"},{"issue":"2","key":"6016_CR4","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1055\/s-2005-870598","volume":"15","author":"A Quinones-Hinojosa","year":"2005","unstructured":"Quinones-Hinojosa A, Du R, Lawton MT (2005) Revascularization with saphenous vein bypasses for complex intracranial aneurysms. Skull Base 15(2):119\u2013132","journal-title":"Skull Base"},{"issue":"6","key":"6016_CR6","doi-asserted-by":"publisher","first-page":"1025","DOI":"10.3171\/jns.1999.90.6.1025","volume":"90","author":"L Regli","year":"1999","unstructured":"Regli L, Uske A, de Tribolet N (1999) Endovascular coil placement compared with surgical clipping for the treatment of unruptured middle cerebral artery aneurysms: a consecutive series. J Neurosurg 90(6):1025\u20131030","journal-title":"J Neurosurg"},{"key":"6016_CR8","first-page":"6539456","volume":"2020","author":"C Thongrong","year":"2020","unstructured":"Thongrong C et al (2020) Appropriate blood pressure in cerebral aneurysm clipping for prevention of delayed ischemic neurologic deficits. Anesthesiol Res Pract 2020:6539456","journal-title":"Anesthesiol Res Pract"},{"key":"6016_CR7","first-page":"113","volume":"2","author":"MG Ya\u015fargil","year":"1975","unstructured":"Ya\u015fargil MG, Fox JL, Ray MW (1975) The operative approach to aneurysms of the anterior communicating artery. Adv Tech Stand Neurosurg 2:113\u2013170","journal-title":"Adv Tech Stand Neurosurg"}],"container-title":["Acta Neurochirurgica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-024-06016-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00701-024-06016-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-024-06016-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:01:17Z","timestamp":1740171677000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00701-024-06016-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,25]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["6016"],"URL":"https:\/\/doi.org\/10.1007\/s00701-024-06016-y","relation":{},"ISSN":["0942-0940"],"issn-type":[{"type":"electronic","value":"0942-0940"}],"subject":[],"published":{"date-parts":[[2024,3,25]]},"assertion":[{"value":"28 December 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 February 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 March 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The patient received informed consent for operation and publication of data in framework of our neurovascular research (Studien-Nr.: 2019\u2013787-bio,Medical Faculty and University Hospital D\u00fcsseldorf, Heinrich-Heine-Universit\u00e4t D\u00fcsseldorf, Germany).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"All participants in this study provided informed consent prior to their involvement. They were made aware of the study\u2019s objectives, procedures, and their rights as participants.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"All authors of this study have reviewed and approved the final manuscript for publication. They consent to the publication of this research in its current form.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"148"}}