{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T06:55:54Z","timestamp":1774940154151,"version":"3.50.1"},"reference-count":28,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2022,11]]},"DOI":"10.1016\/j.wneu.2022.08.017","type":"journal-article","created":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T01:04:15Z","timestamp":1661303055000},"page":"e370-e377","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["Ruptured Distal Middle Cerebral Artery Aneurysms\u2014Characteristics and Strategy"],"prefix":"10.1016","volume":"167","author":[{"given":"Naoya","family":"Takeda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiji","family":"Kurihara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuichi","family":"Kuroda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Te-Jin","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Sasayama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2022.08.017_bib1","first-page":"151","article-title":"Microsurgical anatomy of the middle cerebral artery","volume":"54","author":"Gibo","year":"1981","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2022.08.017_bib2","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1227\/01.NEU.0000316847.64140.81","article-title":"Morphology Parameters for Intracranial Aneurysm Rupture Risk Assessment","volume":"63","author":"Dhar","year":"2008","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2022.08.017_bib3","series-title":"Stuutgart","first-page":"299","article-title":"Microsurgical anatomy of the basal cisterns and vessels of the brain, diagnostic studies, general operative techniques and pathological considerations of the intracranial aneurysms","author":"Ya\u015fargil","year":"1984"},{"key":"10.1016\/j.wneu.2022.08.017_bib4","first-page":"791","article-title":"The poor prognosis of ruptured intracranial aneurysms of the posterior circulation","volume":"82","author":"Schievink","year":"1995","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2022.08.017_bib5","first-page":"384","article-title":"Ruputured distal middle cerebral artery aneurysm","volume":"100","author":"Horiuchi","year":"2004","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2022.08.017_bib6","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/00006123-199601000-00002","article-title":"Analysis of 561 patients with 690 middle cerebral artery aneurysms: Anatomic and clinical features as correlated to management outcome","volume":"38","author":"Rinne","year":"1996","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2022.08.017_bib7","first-page":"780","article-title":"Surgical management of middle cerebral artery aneurysms","volume":"48","author":"Heros","year":"2001","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2022.08.017_bib8","first-page":"1203","article-title":"Current multimodality management of infectious intracranial aneurysms","volume":"48","author":"Chun","year":"2001","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2022.08.017_bib9","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/S0140-6736(03)13860-3","article-title":"Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment","volume":"362","author":"Wiebers","year":"2003","journal-title":"Lancet"},{"key":"10.1016\/j.wneu.2022.08.017_bib10","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1136\/bmj.1.5496.1138","article-title":"Mechanism of growth and rupture in cerebral berry aneurysms","volume":"1","author":"Crompton","year":"1996","journal-title":"Br Med J"},{"key":"10.1016\/j.wneu.2022.08.017_bib11","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1080\/02688699746500","article-title":"Aneurysm size: a prognostic factor for rupture","volume":"11","author":"Orz","year":"1997","journal-title":"Br J Neurosurg"},{"key":"10.1016\/j.wneu.2022.08.017_bib12","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/S0090-3019(03)00427-0","article-title":"Size of cerebral aneurysms and related factors in patients with subarachnoid hemorrhage","volume":"61","author":"Ohashi","year":"2004","journal-title":"Surg Neurl"},{"key":"10.1016\/j.wneu.2022.08.017_bib13","doi-asserted-by":"crossref","first-page":"1322","DOI":"10.1097\/00006123-200112000-00006","article-title":"A\u00a0review of size and location of ruptured intracranial aneurysms","volume":"49","author":"Forget","year":"2001","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2022.08.017_bib14","doi-asserted-by":"crossref","first-page":"53","DOI":"10.3171\/2012.3.JNS111221","article-title":"Rupture rate for patients with untreated unruptured intracranial aneurysms in South Korea during 2006\u20132009","volume":"117","author":"Lee","year":"2012","journal-title":"Clin article J Neurosurg"},{"key":"10.1016\/j.wneu.2022.08.017_bib15","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.surneu.2005.05.019","article-title":"Size and location of ruptured and unruptured intracranial aneurysms measured by 3-dimensional rotational angiography","volume":"65","author":"Beck","year":"2006","journal-title":"Surg Neurol"},{"key":"10.1016\/j.wneu.2022.08.017_bib16","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1007\/s00701-007-1061-5","article-title":"Characteristics and management of ruptured distal middle cerebral artery aneurysms","volume":"149","author":"Joo","year":"2007","journal-title":"Acta Neurochir(Wien)"},{"key":"10.1016\/j.wneu.2022.08.017_bib17","first-page":"1344","article-title":"Clinical characteristics and outcome of aneurysmal subarachnoid hemorrhage with intracerebral hematoma","volume":"125","author":"Wan","year":"2016","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2022.08.017_bib18","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.neuchi.2013.04.007","article-title":"Distal middle cerebral artery aneurysm","volume":"59","author":"Calvacante","year":"2013","journal-title":"A\u00a0proposition microsurgical Manag Neurochirurgie"},{"key":"10.1016\/j.wneu.2022.08.017_bib19","first-page":"398","article-title":"Bypass surgery for complex middle cerebral artery aneurysms: impact of the exact location in the MCA tree","volume":"120","author":"Kivipelto","year":"2014","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2022.08.017_bib20","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1136\/neurintsurg-2020-015877","article-title":"Review of current intracranial aneurysm flow diversion technology and clinical use","volume":"13","author":"Dandapat","year":"2021","journal-title":"J\u00a0Neurointerv Surg"},{"key":"10.1016\/j.wneu.2022.08.017_bib21","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1136\/neurintsurg-2018-014631","article-title":"A2, M2, P2 aneurysms and beyond: results of treatment with pipeline embolization device in 65 patients","volume":"11","author":"Primiani","year":"2019","journal-title":"J\u00a0Neurointerv Surg"},{"key":"10.1016\/j.wneu.2022.08.017_bib22","doi-asserted-by":"crossref","first-page":"e193","DOI":"10.1016\/j.wneu.2019.02.204","article-title":"Tiny pipes: 67 cases of flow diversion for aneurysms in distal vessels measuring less than 2.0 mm","volume":"127","author":"Bender","year":"2019","journal-title":"World Neurosurgery"},{"key":"10.1016\/j.wneu.2022.08.017_bib23","series-title":"Stuutgart","first-page":"224","article-title":"Microneurosurgery. II: clinical considerations, Surgery of the intracranial aneurys and results","author":"Ya\u015fargil","year":"1984"},{"key":"10.1016\/j.wneu.2022.08.017_bib24","first-page":"63","article-title":"Peripheral aneurysms of the cerebellar arteries- review of 16 cases","volume":"58","author":"G\u00e1cs","year":"1983","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2022.08.017_bib25","doi-asserted-by":"crossref","DOI":"10.1179\/016164109X12581096796558","article-title":"Size ratio for clinical assessment of intracranial aneurysm rupture risk","author":"Ma","year":"2010","journal-title":"Neurol Res"},{"key":"10.1016\/j.wneu.2022.08.017_bib26","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1161\/STROKEAHA.109.574244","article-title":"Size ratio correlates with intracranial aneurysms rupture status","volume":"41","author":"Rahman","year":"2010","journal-title":"A\u00a0Prospective Study Stroke"},{"key":"10.1016\/j.wneu.2022.08.017_bib27","doi-asserted-by":"crossref","first-page":"2169","DOI":"10.1161\/STROKEAHA.113.001138","article-title":"Size ratio can highly predict rupture risk in intracranial small (<5 mm) aneurysms","volume":"44","author":"Kashiwazaki","year":"2013","journal-title":"Stroke"},{"key":"10.1016\/j.wneu.2022.08.017_bib28","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1227\/01.NEU.0000194639.37803.F8","article-title":"Epidemiology of the size distribution of intracranial bifurcation aneurysms: smaller size of distal aneurysms and increasing size of unruptured aneurysms with age","volume":"58","author":"Carter","year":"2006","journal-title":"Neurosurgery"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875022011172?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875022011172?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T09:12:21Z","timestamp":1761815541000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875022011172"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":28,"alternative-id":["S1878875022011172"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2022.08.017","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2022,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Ruptured Distal Middle Cerebral Artery Aneurysms\u2014Characteristics and Strategy","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2022.08.017","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}